Provider Demographics
NPI:1467614669
Name:CRAWFORD, SARAH BLUMENGARTEN (PSYD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BLUMENGARTEN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 TAMARACK AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-5559
Mailing Address - Country:US
Mailing Address - Phone:860-432-1199
Mailing Address - Fax:860-432-1152
Practice Address - Street 1:2400 TAMARACK AVE
Practice Address - Street 2:STE 201
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-5559
Practice Address - Country:US
Practice Address - Phone:860-432-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-28
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent