CAROLE CRUSE-OLIVIERI


Address: 15301 Lee Hwy, Centreville, VA 20121-2126
Phone: 7034562222

CAROLE CRUSE-OLIVIERI (NPI# 1669974978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669974978
Entity Type Individual
Full Name CAROLE CRUSE-OLIVIERI
Credential PSY.D.
Practice Address 15301 Lee Hwy
Centreville
VA 20121-2126
Mailing Address 43417 Edgewater St
Chantilly
VA 20152-1751
Practice Telephone 7034562222
Enumeration Date 2018-03-02
Last Update Date 2018-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
PPS-0600056 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA VA BOARD OF PSYCHOLOGY 0813000532 01
VA COMMONWEALTH OF VA PUPIL PERSONNEL SERVICES LICENSE PPS-0600056 01

Office Location

Street Address 15301 LEE HWY
City CENTREVILLE
State VA
Zip Code 20121-2126

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1447519483 James Hamilton Occupational Therapy Assistant 6220 William Mosby Dr, Centreville, VA 20121 2012-05-11
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1922611169 Caroline Faith Dewerd Psychologist 4638 Battenburg Ln, Fairfax, VA 22030-6267 2020-08-27
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1811538077 Brittany Lee Gill Psychologist 3005 Clarke Dr, Virginia Beach, VA 23456-7919 2019-09-30
1467002915 Michelyn Cynthia Kemp Psychologist 4656 Noland Blvd, Williamsburg, VA 23188-7587 2019-09-17
1851948830 Kyle Jacob Maziarski Psychologist 100 Panther Dr, Fredericksburg, VA 22406-7473 2019-08-23
1093361024 Alexis Rae Carson Psychologist 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 2019-08-15
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Competitor

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City CENTREVILLE
Zip Code 20121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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