PAMELA LYNNE CROUCH (NPI# 1902959547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902959547 |
Entity Type | Individual |
Full Name | PAMELA LYNNE CROUCH |
Other Name | PAMELA LYNNE CHAPPELL |
Practice Address |
3555 E Fry Blvd Sierra Vista AZ 85635-2972 |
Mailing Address |
4903 S Calle Encina Sierra Vista AZ 85650-8903 |
Practice Telephone | 5205152790 |
Mailing Telephone | 5205594850 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 598542 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952645707 | Pamela Regina Crouch | Occupational Therapy Assistant | 1361 Cajah Mountain Rd, Hudson, NC 28638-9580 | 2012-11-18 |
1255676813 | Pamela Kay Crouch | Speech-Language Pathologist | 1980 Sunset Point Rd, Clearwater, FL 33765-1132 | 2012-12-06 |
Street Address |
3555 E FRY BLVD |
City | SIERRA VISTA |
State | AZ |
Zip Code | 85635-2972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700953403 | Lauren Russell Nelson | Speech-Language Pathologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2006-11-29 |
1558837260 | Gina Michelle Wales | Registered Nurse | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2018-10-19 |
1609351337 | Brittanie Freshour | Specialist/Technologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2018-09-27 |
1326522723 | Frances Young | Specialist/Technologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2018-09-20 |
1023425162 | Rachel Schnebly | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635 | 2014-07-22 |
1083907703 | Lisa Marie Luick | Registered Nurse | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2011-05-27 |
1710281506 | Stephanie Teixeira | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2011-01-07 |
1386948560 | Susan Breen | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2011-01-03 |
1437452000 | Jacqueline Kay Kenyon | Speech-Language Pathologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2010-12-21 |
1891946661 | Karenann Geesling | Registered Nurse | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2008-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
Find all providers in zip 85635 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760525455 | Sierra Vista Public Schools | Psychologist | 3555 Fry Boulevard, Sierra Vista, AZ 85635 | 2007-02-14 |
1023425162 | Rachel Schnebly | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635 | 2014-07-22 |
1710281506 | Stephanie Teixeira | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2011-01-07 |
1386948560 | Susan Breen | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2011-01-03 |
1972712982 | Jena L Wehrle | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2007-05-22 |
1194938506 | Maureen Kathryn Potucek | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2007-05-08 |
1154461820 | Amanda M Wood | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912691 | Jane Ann Petschow | Psychologist | 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 | 2020-11-02 |
1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
1922616929 | Latisha Kareem Ojuriye | Psychologist | 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 | 2020-07-16 |
1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
1710522487 | Aubri Hall | Psychologist | 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 | 2019-11-16 |
1659927242 | Kristin Lee Carbone-kebble | Psychologist | 480 Mate Ln, Lake Havasu City, AZ 86406-6201 | 2019-08-10 |
1841843067 | Rebecca Harmon | Psychologist | 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 | 2019-07-17 |
1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
1053826545 | Angela Coyle | Psychologist | 4841 W Lone Dove Dr, Marana, AZ 85658-4735 | 2017-12-06 |
Find all providers with the same taxonomy |
City | SIERRA VISTA |
Zip Code | 85635 |
Please comment or provide details below to improve the information on PAMELA LYNNE CROUCH.
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.