Crabb, Traci
Crabb, Traci is an sole proprietor health care provider with primary practice located at 3775 N Eagle Rd , Boise ID 83713-5005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crabb, Traci can be contacted via phone (208) 938-9653.Contact Information
Primary practice address
3775 N Eagle Rd
Boise ID 83713-5005
Phone: (208) 938-9653
Fax: (208) 938-1399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY - 202233 | Idaho |
Profile Details
| NPI number | 1336157452 |
|---|---|
| LBN Legal business name | Crabb, Traci |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Feb 27th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336157452 | NPPES |
| Idaho | Other | 000010157338 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | N6289 | REGENCE BLUE SHIELD OF ID |
| Idaho | MEDICAID | 806968300 | REGENCE BLUE SHIELD OF ID |
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