Individual provider · Type 1 NPI

Michael Crockett, PSYD

Psychologist · Gresham, OR

NPI number 1780074807 Active

Practice location

4316 SE 182nd Ave
Gresham, OR 97030-5058

Mailing address

2315 NE Francis Ct
Gresham, OR 97030-3155

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Counseling Psychologist 103TC1900XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1780074807

Michael Crockett, PSYD's National Provider Identifier is 1780074807, issued on Jan 27, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Gresham, OR. The record was last updated on Mar 2, 2022.