Provider Demographics
NPI:1407087653
Name:ROSARIO S CRANE P A
Entity Type:Organization
Organization Name:ROSARIO S CRANE P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:S
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:813-875-0122
Mailing Address - Street 1:4144 N ARMENIA AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6400
Mailing Address - Country:US
Mailing Address - Phone:813-875-0122
Mailing Address - Fax:813-875-0208
Practice Address - Street 1:4144 N ARMENIA AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6400
Practice Address - Country:US
Practice Address - Phone:813-875-0122
Practice Address - Fax:813-875-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3335103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty