Beadle, Crystal Lee

Beadle, Crystal Lee is an individual health care provider with primary practice located at 7552 Main St Bldg B, The Colony TX 75056-3448. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Beadle, Crystal Lee can be contacted via phone (469) 731-5440.

Contact Information

Primary practice address
7552 Main St Bldg B The Colony TX 75056-3448
Phone: (469) 731-5440
Fax: (469) 731-5537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 34603 Texas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 34764 Texas

Profile Details

NPI number 1871953273
LBN Legal business name Beadle, Crystal Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2016
Last updated Jun 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871953273 NPPES
Texas MEDICAID 358211601

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