NPI 1245080977 · live from the CMS NPI Registry
Crystal Celesta Carroway, SSP
Psychologist, School in Elm Springs, AR. National Provider Identifier 1245080977, active.
NPI record
| NPI | 1245080977 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 277 Mill Park Ln, Elm Springs, AR 72762 |
| Practice phone | 318-678-9301 |
| Enumerated | March 25, 2024 |
| Last updated | March 25, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.