Eric Ty Crutchfield in Benton - Clinical
Eric Ty Crutchfield - NPI 1902011000
Eric Ty Crutchfield is a Clinical in Benton, Arkansas. Eric Ty Crutchfield practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric Ty Crutchfield is 1902011000. The last update date is 2011-01-26.
Eric Ty Crutchfield's current location address is Po Box 1589, Benton, Arkansas. You can contact this provider via phone number 5013153344. The mailing address for Eric Ty Crutchfield is Po Box 1589, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Ty Crutchfield |
|---|---|
| Address | Po Box 1589, Benton, Arkansas |
| Phone Number | 5013153344 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902011000 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2011-01-26 |
Provider Mailing Address Detail
| Address | Po Box 1589 |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720181589 |
| Phone Number | 5013153344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2545-C |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eric Ty Crutchfield by the Centers for Medicare & Medicaid Services?
The Eric Ty Crutchfield has been issued the NPI (National Provider Identifier) 1902011000 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Eric Ty Crutchfield is physically located?
The Eric Ty Crutchfield is physically situated at the following address: Po Box 1589, Benton, AR, 720181589.
What is Eric Ty Crutchfield's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eric Ty Crutchfield's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902011000 to Eric Ty Crutchfield?
The Centers for Medicare & Medicaid Services originally issued the 1902011000 to Eric Ty Crutchfield on 2007-05-11.
As of what date were the details pertaining to Eric Ty Crutchfield last refreshed?
The information related to the Eric Ty Crutchfield, including its address, specialty, and other relevant details, was last updated on 2011-01-26.
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