Individual
DR. JEREMY TAD CROSTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1901 VETERANS MEMORIAL DR, 116B BLG 146, TEMPLE, TX 76504-7451
(254) 743-0388
Mailing address
1901 VETERANS MEMORIAL DR, 116B BLG 146, TEMPLE, TX 76504-7451
(254) 743-0388
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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