Provider Demographics
NPI:1144741588
Name:CRUMLEY, JAMI
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:
Last Name:CRUMLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JAMI
Other - Middle Name:
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8348 LITTLE RD STE 349
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-4919
Mailing Address - Country:US
Mailing Address - Phone:727-741-3405
Mailing Address - Fax:727-213-6246
Practice Address - Street 1:14601 DILBECK DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34610-7244
Practice Address - Country:US
Practice Address - Phone:727-505-3378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician