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MR. LOUIS RAY CRADDOCK MS NPI 1629177423


NPI Information

NPI: 1629177423
Provider Name: MR. LOUIS RAY CRADDOCK, MS
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
800 SENECA DR
BELPRE, OH
ZIP 45714
Phone: (740) 423-4707
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MR. Louis Ray Craddock, MS is an addiction (substance use disorder) psychologist in Belpre, OH. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. MR. Louis Ray Craddock, MS NPI is 1629177423. 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:

800 SENECA DR
BELPRE, OH
ZIP 45714-141
Phone: (740) 423-4707
Fax: (740) 423-6976

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)670WEST VIRGINIAYes
2103TC0700XPsychologistClinical670WEST VIRGINIAX
3103TF0200XPsychologistForensic670WEST VIRGINIAX
4103T00000XPsychologist670WEST VIRGINIAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10164801000MEDICAIDWEST VIRGINIA

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

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