Provider Demographics
NPI:1306043518
Name:CRANE, ANN S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:S
Last Name:CRANE
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 1:30 REYNAL RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-3925
Mailing Address - Country:US
Mailing Address - Phone:914-686-1490
Mailing Address - Fax:914-682-4011
Practice Address - Street 1:30 REYNAL RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-3925
Practice Address - Country:US
Practice Address - Phone:914-686-1490
Practice Address - Fax:914-682-4011
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011276103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical