Crockford, Dane P

Crockford, Dane P is an sole proprietor health care provider with primary practice located at 990 Highland Dr Ste 110-P, Solana Beach CA 92075-2408. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Crockford, Dane P can be contacted via phone (310) 308-9761.

Contact Information

Primary practice address
990 Highland Dr Ste 110-P Solana Beach CA 92075-2408
Phone: (310) 308-9761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY28313 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY28313 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY28313 California

Profile Details

NPI number 1780031831
LBN Legal business name Crockford, Dane P
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2016
Last updated Jan 10th, 2019 - about 5 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.

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