RICHARD R. CROCKER PH.D. NPI 1891717526

NPI Information

NPI: 1891717526
Provider Name: RICHARD R. CROCKER, PH.D.
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
46 MASCOMA ST
LEBANON, NH
ZIP 03766
Phone: (603) 381-2564
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Richard R. Crocker, PH.D. is a pastoral counselor in Lebanon, NH. Richard R. Crocker, PH.D. NPI is 1891717526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

46 MASCOMA ST
LEBANON, NH
ZIP 03766-629
Phone: (603) 381-2564
Fax: (602) 646-2645

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral	63	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30424283	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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