Provider Demographics
NPI:1346657855
Name:CRAWFPRD PSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:CRAWFPRD PSYCHOLOGY, PLLC
Other - Org Name:CRAWFORD PSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:972-735-0445
Mailing Address - Street 1:3101 JOE RAMSEY BOULEVARD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401
Mailing Address - Country:US
Mailing Address - Phone:972-735-0445
Mailing Address - Fax:972-692-7861
Practice Address - Street 1:3101 JOE RAMSEY BLVD E STE 103A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7762
Practice Address - Country:US
Practice Address - Phone:972-735-0445
Practice Address - Fax:972-692-7861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36579103TB0200X, 103TC0700X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty