Provider Demographics
NPI:1962718031
Name:CROWE, DONALD HURST (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:HURST
Last Name:CROWE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 MINER ROAD
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-1426
Mailing Address - Country:US
Mailing Address - Phone:925-386-0109
Mailing Address - Fax:925-253-7550
Practice Address - Street 1:546 MINER ROAD
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-1426
Practice Address - Country:US
Practice Address - Phone:925-386-0109
Practice Address - Fax:925-253-7550
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7188103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical