Provider Demographics
NPI:1689969784
Name:CRAWFORD, LINDA S (CT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4174 SUGARBUSH DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9106
Mailing Address - Country:US
Mailing Address - Phone:330-286-5187
Mailing Address - Fax:
Practice Address - Street 1:4174 SUGARBUSH DR
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9106
Practice Address - Country:US
Practice Address - Phone:330-286-5187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor