Provider Demographics
NPI:1669611232
Name:CRAWFORD, JAMES MONROE (PSYD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MONROE
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 S WASHINGTON ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3631
Mailing Address - Country:US
Mailing Address - Phone:202-550-0538
Mailing Address - Fax:
Practice Address - Street 1:312 S WASHINGTON ST STE 2B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3631
Practice Address - Country:US
Practice Address - Phone:202-550-0538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003714103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist