Willoughby, Crystal Marie
Willoughby, Crystal Marie is an sole proprietor health care provider with primary practice located at 10433B Stevenson Rd , Stevenson MD 21153-0602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willoughby, Crystal Marie can be contacted via phone (410) 205-9202.Contact Information
Primary practice address
10433B Stevenson Rd
Stevenson MD 21153-0602
Phone: (410) 205-9202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 05569 | Maryland |
Profile Details
| NPI number | 1871788612 |
|---|---|
| LBN Legal business name | Willoughby, Crystal Marie |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Jan 30th, 2017 - about 9 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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