Provider Demographics
NPI:1801869557
Name:CRAWFORD, KAY P (LISWPHD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:P
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LISWPHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 OFFICE PARK RD
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2509
Mailing Address - Country:US
Mailing Address - Phone:515-222-1779
Mailing Address - Fax:515-267-8957
Practice Address - Street 1:1001 OFFICE PARK RD
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2587
Practice Address - Country:US
Practice Address - Phone:515-222-1779
Practice Address - Fax:515-267-8957
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA003231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA58139OtherBLUE CROSS OF IOWA
IA58139OtherBLUE CROSS OF IOWA