Provider Demographics
NPI:1982954970
Name:CROWELL, NOELLE B
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:B
Last Name:CROWELL
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 1:14 PEACEFUL LN
Mailing Address - Street 2:
Mailing Address - City:EAST WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02538-1103
Mailing Address - Country:US
Mailing Address - Phone:774-269-3032
Mailing Address - Fax:
Practice Address - Street 1:14 PEACEFUL LN
Practice Address - Street 2:
Practice Address - City:EAST WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02538-1103
Practice Address - Country:US
Practice Address - Phone:774-269-3032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health