Individual
MARIE K CROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991
Mailing address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2393057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43573200
—
WI
01
—
6150399
MEDICAL UBH UHC
MN
01
—
637871026353
PREFERRED ONE
MN
01
—
68434
SECURITY HEALTH PLAN
WI
01
—
99FO6CR
BCBS MN
MN
01
—
HP39199
HEALTH PARTNERS
MN
Enumeration date
05/17/2006
Last updated
05/06/2008
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