Crutchfield, Eric Ty

Crutchfield, Eric Ty is an individual health care provider with primary practice located at 1502 Mary Kay Ave , Benton AR 72015. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Crutchfield, Eric Ty can be contacted via phone (501) 315-3344.

Contact Information

Primary practice address
1502 Mary Kay Ave Benton AR 72015
Phone: (501) 315-3344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2545-C Arkansas

Profile Details

NPI number 1902011000
LBN Legal business name Crutchfield, Eric Ty
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jan 26th, 2011 - about 13 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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