Provider Demographics
NPI:1740497270
Name:CROW, ANN SMITH (LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:SMITH
Last Name:CROW
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:W
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:4309 LINGLESTOWN RD
Mailing Address - Street 2:SUITE 105-E
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-8624
Mailing Address - Country:US
Mailing Address - Phone:717-545-7252
Mailing Address - Fax:717-545-7272
Practice Address - Street 1:4309 LINGLESTOWN RD
Practice Address - Street 2:SUITE 105-E
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-8624
Practice Address - Country:US
Practice Address - Phone:717-545-7252
Practice Address - Fax:717-545-7272
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002045101YP2500X
PAMF000112106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist