Bauer, Crystal
Bauer, Crystal is an sole proprietor health care provider with primary practice located at 350 S Northwest Hwy Ste 300 , Park Ridge IL 60068. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bauer, Crystal can be contacted via phone (773) 234-8068.Contact Information
Primary practice address
350 S Northwest Hwy Ste 300
Park Ridge IL 60068
Phone: (773) 234-8068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1415 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042751A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.009484 | Illinois |
Profile Details
| NPI number | 1437439320 |
|---|---|
| LBN Legal business name | Bauer, Crystal |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Aug 2nd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437439320 | NPPES |
| Kansas | Other | 1415 | TLMLP |
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