Ebert, Crystal

Ebert, Crystal is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Ebert, Crystal can be contacted via phone (952) 993-2498.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-2498
Fax: (952) 993-2505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004913 Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP6293 Minnesota

Profile Details

NPI number 1134550502
LBN Legal business name Ebert, Crystal
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2013
Last updated Dec 21st, 2023 - about 3 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.

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