Provider Demographics
NPI:1912437807
Name:CROSBY, ANSHREA
Entity Type:Individual
Prefix:
First Name:ANSHREA
Middle Name:
Last Name:CROSBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7044 MCCLEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7256
Mailing Address - Country:US
Mailing Address - Phone:410-458-7294
Mailing Address - Fax:
Practice Address - Street 1:7044 MCCLEAN BLVD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-7256
Practice Address - Country:US
Practice Address - Phone:410-458-7294
Practice Address - Fax:410-458-7294
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician