Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL CROCKETT, PSYD
Active Sole ProprietorDR. MICHAEL CROCKETT, PSYD is a Psychologist healthcare provider located in GRESHAM, Oregon. NPI 1780074807 is currently active in the NPPES registry. Verify at CMS.
Psychologist · GRESHAM, OR
Registration Details
- NPI Number
- 1780074807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2015 (11.555068518519 yrs)
- Last Updated
- Mar 2, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
4316 SE 182ND AVEGRESHAM, OR, 970305058Browse OR providers · Browse ZIP 97030
- Phone
- 5038932249
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Geriatric Psychologist
- Additional Specialty
- Psychologist
Other Psychologist Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES RICHARD O'BANNON | PH.D. | 1508856642 |
| JOHN D ADLER | PHD | 1588645055 |
| BETH DIANE FRENCH | PSY.D. | 1194814665 |
| DR. CAROL J LANDESMAN | PH.D. | 1770630485 |
| DR. ELIZABETH KIRKHART | PH.D. | 1598880411 |
| DR. GREGORY G. MORSE | PSY.D. | 1598882821 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.