Fullen, Chrystal Tarryn
Fullen, Chrystal Tarryn is an individual health care provider with primary practice located at 4301 W Markham St # 589 , Little Rock AR 72205-7101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Fullen, Chrystal Tarryn can be contacted via phone (501) 526-8284.Contact Information
Primary practice address
4301 W Markham St # 589
Little Rock AR 72205-7101
Phone: (501) 526-8284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 19-32AP-PL | Arkansas |
Profile Details
| NPI number | 1053768911 |
|---|---|
| LBN Legal business name | Fullen, Chrystal Tarryn |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2016 |
| Last updated | Aug 27th, 2021 - about 5 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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