Provider Demographics
NPI:1710321542
Name:CRUMPTON, NANCY L (EDD, LPC-S, CRC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:L
Last Name:CRUMPTON
Suffix:
Gender:F
Credentials:EDD, LPC-S, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8436 CROSSLAND LOOP
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8521
Mailing Address - Country:US
Mailing Address - Phone:334-324-5578
Mailing Address - Fax:334-244-0416
Practice Address - Street 1:8436 CROSSLAND LOOP
Practice Address - Street 2:SUITE 109
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8521
Practice Address - Country:US
Practice Address - Phone:334-324-5578
Practice Address - Fax:334-244-0416
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL428101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional