Provider Demographics
NPI:1427688282
Name:CROSSMAN, ANNIE LYNN (LMHC)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:LYNN
Last Name:CROSSMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 MARION ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4432
Mailing Address - Country:US
Mailing Address - Phone:603-264-6762
Mailing Address - Fax:
Practice Address - Street 1:10 GUEST ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2066
Practice Address - Country:US
Practice Address - Phone:617-581-2682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health