Crook, Charles William

Crook, Charles William is an sole proprietor health care provider with primary practice located at 3400 Pacific Ave Apt 208 , Marina Del Rey CA 90292-7815. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Crook, Charles William can be contacted via phone (310) 428-8787.

Contact Information

Primary practice address
3400 Pacific Ave Apt 208 Marina Del Rey CA 90292-7815
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 15487
Behavioral Health & Social Service Providers / Clinical 103TC0700X 30680 California

Profile Details

NPI number 1114485323
LBN Legal business name Crook, Charles William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2019
Last updated Nov 16th, 2023 - about 2 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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