Crouse, Roy Howard

Crouse, Roy Howard is an individual health care provider with primary practice located at 820 University City Blvd Suite 1, Blacksburg VA 24060-2708. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Crouse, Roy Howard can be contacted via phone (540) 961-2380.

Contact Information

Primary practice address
820 University City Blvd Suite 1 Blacksburg VA 24060-2708
Fax: (540) 961-3408
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002327 Virginia

Profile Details

NPI number 1225095458
LBN Legal business name Crouse, Roy Howard
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225095458 NPPES
Virginia MEDICAID 7707118

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