Provider Demographics
NPI:1558688911
Name:CROUCH, KRISTEN LYN (MED, MM, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:LYN
Last Name:CROUCH
Suffix:
Gender:F
Credentials:MED, MM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 AMADOR LN
Mailing Address - Street 2:UNIT 2
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-8344
Mailing Address - Country:US
Mailing Address - Phone:561-758-2326
Mailing Address - Fax:
Practice Address - Street 1:410 AMADOR LN
Practice Address - Street 2:UNIT 2
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-8344
Practice Address - Country:US
Practice Address - Phone:561-758-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist