Dr. Marie Crawford, PH.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2802 Issued in TN

Legal business name

DR. MARIE CRAWFORD, PH.D., PLLC

Practice address

739 Bluff City Highway
Suite 5
Bristol, TN 37620

Phone

(423) 217-1097

Fax

(423) 217-1069

NPI assigned

Jun 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marie Eileen Crawford, PH.D.NPI 1194818096

Title

President

Phone

(423) 217-1097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Eileen Crawford, PHD

  • Counselor
  • Bristol, TN
  • NPI 1194818096
  Medicare reassignment NPD Authorized official
• Daphane Miller, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
  • NPI 1790296622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1831579796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HIGHWAY",
            "address_2": "SUITE 5",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-217-1097",
            "fax_number": "423-217-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HIGHWAY",
            "address_2": "SUITE 5",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-217-1097",
            "fax_number": "423-217-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARIE CRAWFORD, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-217-1097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L Ferris DPM PC
• Donald S. Redford, D.D.S, P.C
• Denise Kay Doty, LPN
• Dr Mark Lynn & Associates, PLLC
• Dr Michael Smith Chiropractic, LLC
• Charisse Dawn Drain, CRIMINAL JUSTICE LAW
• Jacquelyn Leanne Driggers, MA
• DRS. Green, P.C.
• Curtis K Drumwright, MD
• Pearlie Leanne Duckett, PHARMD

• Clinical Psychologist in Bristol, TN
• Providers in Bristol, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.