Provider Demographics
NPI:1154391902
Name:CROSHIER, IRVING DACRE (PHD, MFC)
Entity type:Individual
Prefix:DR
First Name:IRVING
Middle Name:DACRE
Last Name:CROSHIER
Suffix:
Gender:M
Credentials:PHD, MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7041 OWENSMOUTH AVE
Mailing Address - Street 2:#202
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2057
Mailing Address - Country:US
Mailing Address - Phone:818-710-1266
Mailing Address - Fax:818-710-1267
Practice Address - Street 1:7041 OWENSMOUTH AVE
Practice Address - Street 2:#202
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2057
Practice Address - Country:US
Practice Address - Phone:818-710-1266
Practice Address - Fax:818-710-1267
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist