Individual
DR. CARRIE CROWNOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3621
(316) 634-3091
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3621
(316) 634-3091
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1759
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10097960A
—
KS
01
—
201736
BLUE CROSS
KS
Enumeration date
05/27/2006
Last updated
11/06/2008
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