Provider Demographics
NPI:1144282898
Name:CRABBE, HENRY F (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:F
Last Name:CRABBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SHAWS CV STE 207
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4974
Mailing Address - Country:US
Mailing Address - Phone:860-444-8877
Mailing Address - Fax:860-444-9660
Practice Address - Street 1:5 SHAWS CV STE 207
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4974
Practice Address - Country:US
Practice Address - Phone:860-444-8877
Practice Address - Fax:860-444-9660
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0215112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004150629Medicaid
CTD400010298OtherMEDICARE
CT004150629Medicaid