Provider Demographics
NPI:1841719796
Name:CROWLEY, KAREN (EDS)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STEVENSON SCHOOL
Mailing Address - Street 2:18W331 15TH STREET
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148
Mailing Address - Country:US
Mailing Address - Phone:630-516-6551
Mailing Address - Fax:
Practice Address - Street 1:18W331 15TH ST
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4191
Practice Address - Country:US
Practice Address - Phone:630-516-6551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool