Kristi Leann Crane | Jackson, MS • PECOS Search

Kristi Leann Crane

Psychologist

Behavioral Health & Social Service Providers

1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116

(601) 362-4471 (601) 479-7502

PECOS Enrollment

Based on the most recent information from CMS, provider Kristi Leann Crane does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1851546238
Provider Type
Individual
Full Name
Crane, Kristi Leann
Title
Dr.
Credential
PSY.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/26/2008
Last Updated
10/5/2015

Contact Information

Practice Location

1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116

Unlisted Fax

Mailing Location

322 N Grove Cir, Brandon, MS 39047-6745

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 1977 Alabama