Craddock, Douglas Edward

Craddock, Douglas Edward is an sole proprietor health care provider with primary practice located at 25400 Us 19 N Suite 107, Clearwater FL 33763-2149. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Craddock, Douglas Edward can be contacted via phone (727) 791-8714.

Contact Information

Primary practice address
25400 Us 19 N Suite 107 Clearwater FL 33763-2149
Phone: (727) 791-8714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10055 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X E-2588 Ohio

Profile Details

NPI number 1174763783
LBN Legal business name Craddock, Douglas Edward
Credentials LMHC, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2009
Last updated Jul 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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