Crostley, Jeremy Tad

Crostley, Jeremy Tad is an individual health care provider with primary practice located at 1901 Veterans Memorial Dr 116B Blg 146, Temple TX 76504-7451. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Crostley, Jeremy Tad can be contacted via phone (254) 743-0388.

Contact Information

Primary practice address
1901 Veterans Memorial Dr 116B Blg 146 Temple TX 76504-7451
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1710298401
LBN Legal business name Crostley, Jeremy Tad
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Jun 28th, 2010 - about 16 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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