Provider Demographics
NPI:1639529076
Name:CROWDES, SOPHIE ROSE (MS)
Entity Type:Individual
Prefix:
First Name:SOPHIE
Middle Name:ROSE
Last Name:CROWDES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 WORNALL RD
Mailing Address - Street 2:PEET CENTER 1ST FLOOR
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3220
Mailing Address - Country:US
Mailing Address - Phone:816-932-5398
Mailing Address - Fax:816-932-8661
Practice Address - Street 1:4401 WORNALL RD
Practice Address - Street 2:PEET CENTER 1ST FLOOR
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3220
Practice Address - Country:US
Practice Address - Phone:816-932-5398
Practice Address - Fax:816-932-8661
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS