Individual
DR. JULIA MARIE CRUMRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD HSPP
Contact information
Practice address
970 MILLPOND RD STE C, VALPARAISO, IN 46385-6273
(219) 707-8515
Mailing address
970 MILLPOND RD STE C, VALPARAISO, IN 46385-6273
(219) 707-8515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041916A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305715
ANTHEM BCBS
IN
05
—
200389660
—
IN
Enumeration date
08/09/2005
Last updated
03/16/2024
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