Provider Demographics
NPI:1629233812
Name:CRAWFORD, BETH LEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:LEE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:JANEL
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:944 EASTERN AVE NE
Mailing Address - Street 2:CONDO #8
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7074
Mailing Address - Country:US
Mailing Address - Phone:202-549-4389
Mailing Address - Fax:
Practice Address - Street 1:8607 SECOND AVENUE
Practice Address - Street 2:SUITE 506-A
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-589-5533
Practice Address - Fax:301-589-2838
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04154103TC0700X
DCPSY1000435103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical