Provider Demographics
NPI:1255387460
Name:CROWE, DONALD VINCENT (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:VINCENT
Last Name:CROWE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 LUCILLE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-8600
Mailing Address - Country:US
Mailing Address - Phone:859-252-6007
Mailing Address - Fax:859-252-9566
Practice Address - Street 1:535 W 2ND ST
Practice Address - Street 2:SUITE 207
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-1284
Practice Address - Country:US
Practice Address - Phone:859-255-4864
Practice Address - Fax:859-255-5385
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY0984103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical