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MICKEY CROTHERS PH.D. LLC NPI 1467874990


NPI Information

NPI: 1467874990
Provider Name: MICKEY CROTHERS, PH.D., LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
4330 GOLF TER
SUITE 213-M
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 830-1400
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MICKEY CROTHERS, PH.D., LLC is a psychologist in Eau Claire, WI. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MICKEY CROTHERS, PH.D., LLC NPI is 1467874990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4330 GOLF TER
SUITE 213-M
EAU CLAIRE, WI
ZIP 54701-683
Phone: (715) 830-1400

The provider's authorized official is Marie K. (mickey) Crothers .
The authorized official title is Member and has the following contact phone number (715) 830-1400.

The enumeration date for this NPI number is 1/17/2014 and was last updated on 2/18/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
3103T00000XPsychologistYes

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

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