Provider Demographics
NPI:1841430493
Name:CARRIE CRAWFORD, SABRINA
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:CARRIE CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 EYE ST NW
Mailing Address - Street 2:SUITE 700
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-4003
Mailing Address - Country:US
Mailing Address - Phone:703-864-7549
Mailing Address - Fax:
Practice Address - Street 1:1634 EYE ST NW
Practice Address - Street 2:SUITE 700
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4003
Practice Address - Country:US
Practice Address - Phone:703-864-7549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCXXXXXXXXXXXXXXXXXXXX103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical