Provider Demographics
NPI:1528136520
Name:CROSKEY, ANNE ELIZABETH (PHD,LISW,LCDC-III)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ELIZABETH
Last Name:CROSKEY
Suffix:
Gender:F
Credentials:PHD,LISW,LCDC-III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 BETHEL RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2286
Mailing Address - Country:US
Mailing Address - Phone:614-457-5588
Mailing Address - Fax:614-457-6736
Practice Address - Street 1:3021 BETHEL RD
Practice Address - Street 2:SUITE 107
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2286
Practice Address - Country:US
Practice Address - Phone:614-457-5588
Practice Address - Fax:614-457-6736
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6436103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical