| NPI | 1023094174 |
|---|---|
| Other Name | BETHANY ANN DECKARD-CROUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000008A) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2024-12-12 |