Individual
DR. D. MICHAEL CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
154 WATERMAN ST, PROVIDENCE, RI 02906-3116
(401) 273-3322
(401) 270-5700
Mailing address
97 EVERGREEN ST, PROVIDENCE, RI 02906-1900
(401) 228-6424
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00960
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31963-6
BLUECROSS-BLUESHIELD OF R
RI
01
—
413766
BLUECROSS-BLUECHIP
RI
Enumeration date
02/20/2007
Last updated
07/08/2007
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