Provider Demographics
NPI:1063776839
Name:CRAWLEY, DONNA HICKS
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:HICKS
Last Name:CRAWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8029 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6722
Mailing Address - Country:US
Mailing Address - Phone:540-769-9454
Mailing Address - Fax:
Practice Address - Street 1:8029 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6722
Practice Address - Country:US
Practice Address - Phone:540-769-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst