Organization
TRACI CRABB, PSY.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI CRABB PSY.D. (MANAGER)
(208) 867-0561
Entity
Organization
Contact information
Practice address
3775 N EAGLE RD, BOISE, ID 83713-5005
(208) 938-9653
(208) 938-1399
Mailing address
3775 N EAGLE RD, BOISE, ID 83713-5005
(208) 938-9653
(208) 938-1399
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY-202233
ID
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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