DR. TIMOTHY WAYNE CRAWFORD PH.D. NPI 1073565925

NPI Information

NPI: 1073565925
Provider Name: DR. TIMOTHY WAYNE CRAWFORD, PH.D.
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
300 NORTHGATE PARK DR
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 499-3622
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DR. Timothy Wayne Crawford, PH.D. is an intellectual and developmental disabilities in Winston Salem, NC. DR. Timothy Wayne Crawford, PH.D. NPI is 1073565925. 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:

300 NORTHGATE PARK DR
WINSTON SALEM, NC
ZIP 27106-482
Phone: (336) 499-3622
Fax: (336) 499-3624

The enumeration date for this NPI number is 5/17/2006 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	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	1576	NORTH CAROLINA	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	6000609	MEDICAID	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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