Provider Demographics
NPI:1508754938
Name:CROUSE, CALLI (LAPC)
Entity type:Individual
Prefix:
First Name:CALLI
Middle Name:
Last Name:CROUSE
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1943
Mailing Address - Country:US
Mailing Address - Phone:724-998-4994
Mailing Address - Fax:
Practice Address - Street 1:2224 WHITETAIL CT
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-7439
Practice Address - Country:US
Practice Address - Phone:570-730-7823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001288101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health