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
Phone: (310) 428-8787
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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