Provider Demographics
NPI:1275758989
Name:CROSSON, DAWN (PSYD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CROSSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 SUNRISE CIR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-4651
Mailing Address - Country:US
Mailing Address - Phone:717-503-2244
Mailing Address - Fax:
Practice Address - Street 1:845 SIR THOMAS CT SUITE 2B
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1612
Practice Address - Country:US
Practice Address - Phone:717-503-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PSO16058103TB0200X
PAPS016058103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral