Crystal Rose Krull in Stockton - Psychologist
Crystal Rose Krull - NPI 1720108335
Crystal Rose Krull is a Psychologist in Stockton, California. Crystal Rose Krull practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Crystal Rose Krull is 1720108335. The last update date is 2023-06-22.
Crystal Rose Krull's current location address is 1117 S Grant St, Stockton, California. You can contact this provider via phone number 9169559984. The mailing address for Crystal Rose Krull is 1117 S Grant St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Rose Krull |
|---|---|
| Address | 1117 S Grant St, Stockton, California |
| Phone Number | 9169559984 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1720108335 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2023-06-22 |
Provider Mailing Address Detail
| Address | 1117 S Grant St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952061626 |
| Phone Number | 9169559984 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code issued to Crystal Rose Krull by the Centers for Medicare & Medicaid Services?
The Crystal Rose Krull has been assigned the NPI (National Provider Identifier) 1720108335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Crystal Rose Krull's physical address?
The Crystal Rose Krull is physically located at 1117 S Grant St, in the city of Stockton, CA, with the postal code 952061626.
What is the Crystal Rose Krull's area of specialization and corresponding taxonomy classification?
The Crystal Rose Krull's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720108335 to Crystal Rose Krull?
The Centers for Medicare & Medicaid Services originally issued the 1720108335 to Crystal Rose Krull on 2007-03-29.
As of what date was the information regarding Crystal Rose Krull, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Crystal Rose Krull, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-22.
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