Individual
PAMELA LYNNE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 E FRY BLVD, SIERRA VISTA, AZ 85635-2972
(520) 515-2790
Mailing address
4903 S CALLE ENCINA, SIERRA VISTA, AZ 85650-8903
(520) 559-4850
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598542
—
AZ
Enumeration date
01/18/2007
Last updated
07/09/2007
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