Provider Demographics
NPI:1154653491
Name:CRAWFORD, LINDA MARIE (PCD(DONA), CLC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:PCD(DONA), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10039 PINEWOOD VW
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1113
Mailing Address - Country:US
Mailing Address - Phone:619-400-9665
Mailing Address - Fax:
Practice Address - Street 1:10039 PINEWOOD VW
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-1113
Practice Address - Country:US
Practice Address - Phone:619-400-9665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula