Provider Demographics
NPI:1154060507
Name:CRUMPLER, ERIN H
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:H
Last Name:CRUMPLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 TEABERRY DR
Mailing Address - Street 2:
Mailing Address - City:VASS
Mailing Address - State:NC
Mailing Address - Zip Code:28394-8645
Mailing Address - Country:US
Mailing Address - Phone:919-593-0285
Mailing Address - Fax:
Practice Address - Street 1:706 TEABERRY DR
Practice Address - Street 2:
Practice Address - City:VASS
Practice Address - State:NC
Practice Address - Zip Code:28394-8645
Practice Address - Country:US
Practice Address - Phone:919-593-0285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker