Crutchfield, Audra L

Crutchfield, Audra L is an sole proprietor health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crutchfield, Audra L can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave West Haven CT 06516-2770
Phone: (203) 932-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019519 New York

Profile Details

NPI number 1629334511
LBN Legal business name Crutchfield, Audra L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2012
Last updated Apr 5th, 2012 - about 14 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.

Request for update

Popular Providers