Individual provider · Type 1 NPI

Roger T. Crenshaw, MD

Specialist · San Diego, CA

NPI number 1811290257 Active

Practice location

1325 Pacific Highway, Suite 2806
San Diego, CA 92101-2580

Call (619) 564-8494 Map

Fax (619) 564-8783

Specialties and licenses

TaxonomyCodeLicense
Psychoanalyst 102L00000XAFE24041 (CA)
Specialist Primary 174400000XAFE24041 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1811290257

Roger T. Crenshaw, MD's National Provider Identifier is 1811290257, issued on Dec 7, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Dec 7, 2010.