Provider Demographics
NPI:1851418966
Name:CRUMPLER, MALIKA
Entity Type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:CRUMPLER
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 1:3300 STOCKTON BLVD
Mailing Address - Street 2:CAARE DIAGNOSTIC & TREATMENT CENTER
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-1451
Mailing Address - Country:US
Mailing Address - Phone:916-734-4713
Mailing Address - Fax:916-734-6652
Practice Address - Street 1:3300 STOCKTON BLVD
Practice Address - Street 2:CAARE DIAGNOSTIC & TREATMENT CENTER
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-1451
Practice Address - Country:US
Practice Address - Phone:916-734-4713
Practice Address - Fax:916-734-6652
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health