Basic Information
| Provider Information | |||||||||
| NPI: | 1841375961 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRABTREE | ||||||||
| FirstName: | JOY | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 99213 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761990213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6828854871 | ||||||||
| FaxNumber: | 6828853939 | ||||||||
| Practice Location | |||||||||
| Address1: | 3201 TEASLEY LN | ||||||||
| Address2: | STE 202 | ||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762108302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9404844311 | ||||||||
| FaxNumber: | 9404845075 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 04/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC2200X | 31732 | TX | N | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | 103T00000X | 31732 | TX | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.