Provider Demographics
NPI:1811080773
Name:CRAWFORD, RONALD FREDERICK JR (EDD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:FREDERICK
Last Name:CRAWFORD
Suffix:JR
Gender:M
Credentials:EDD
Other - Prefix:
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Mailing Address - Street 1:2301 OHIO DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3927
Mailing Address - Country:US
Mailing Address - Phone:972-312-8701
Mailing Address - Fax:972-769-8861
Practice Address - Street 1:2301 OHIO DR
Practice Address - Street 2:SUITE 215
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3927
Practice Address - Country:US
Practice Address - Phone:972-312-8701
Practice Address - Fax:972-769-8861
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX22106103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00BY23OtherBLUE CROSS/BLUE SHIELD