Mickey Crothers, Ph.d., LLC

NPI #1467874990 in Eau Claire, Wisconsin

Provider Information

NPI Number: 1467874990
Entity Type: Organization
Organization Name: Mickey Crothers, Ph.d., LLC
Primary Specialty: Psychologist
Enumeration Date: Jan 17, 2014
Last Updated: Feb 18, 2014

Practice Location

Address: 4330 GOLF TER
Address 2: SUITE 213-M
City: Eau Claire
State: Wisconsin
ZIP Code: 54701-4683
Phone: (715) 830-1400

Authorized Official

Name: DR. MARIE K. (MICKEY) CROTHERS, PH.D.
Title: MEMBER
Phone: (715) 830-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

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