Provider Demographics
NPI:1013270560
Name:CRAWFORD, MEGAN E
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:GOBBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2027 PULASKI HWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2143
Mailing Address - Country:US
Mailing Address - Phone:443-643-4253
Mailing Address - Fax:443-843-5010
Practice Address - Street 1:2027 PULASKI HWY
Practice Address - Street 2:SUITE 206
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078
Practice Address - Country:US
Practice Address - Phone:443-643-4222
Practice Address - Fax:443-843-5010
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical