Provider Demographics
NPI:1427894054
Name:CROWLEY, LORI ANN (MA SPECIAL EDUCATAIO)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:MA SPECIAL EDUCATAIO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 OAKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1263
Mailing Address - Country:US
Mailing Address - Phone:814-528-4744
Mailing Address - Fax:
Practice Address - Street 1:5917 MYSTIC RDG
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-7042
Practice Address - Country:US
Practice Address - Phone:814-882-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician