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Individual

MR. RICHARD H. CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Mailing address
3617 PINE MOUNTAIN RD, JERSEY SHORE, PA 17740-7747
(570) 322-7873
(570) 322-8026

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS 002026L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03268601
CAPITAL BLUE CROSS
PA
01
080465
FIRST PRIORITY HEALTH
PA
01
CR411256
PA BLUE SHIELD
PA
Enumeration date
06/07/2006
Last updated
06/05/2009
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