Provider Demographics
NPI:1073890372
Name:CROWTHER, DEANA (MED)
Entity Type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:
Last Name:CROWTHER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 KARLA LN
Mailing Address - Street 2:
Mailing Address - City:EAST SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-1771
Mailing Address - Country:US
Mailing Address - Phone:508-833-4343
Mailing Address - Fax:
Practice Address - Street 1:9 KARLA LN
Practice Address - Street 2:
Practice Address - City:EAST SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02537-1771
Practice Address - Country:US
Practice Address - Phone:508-833-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor