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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437439320 NPPES
Kansas Other 1415 TLMLP

Popular Providers