Dillard, Crystal L

Dillard, Crystal L is an individual health care provider with primary practice located at 1600 7Th Ave S Acc 500, Birmingham AL 35233-1711. She recently has 3 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 / Health Service. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Dillard, Crystal L can be contacted via phone (205) 939-9193.

Contact Information

Primary practice address
1600 7Th Ave S Acc 500 Birmingham AL 35233-1711
Phone: (205) 939-9193
Fax: (205) 939-9949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1545 Alabama
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1545 Alabama
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2829 Tennessee

Profile Details

NPI number 1679723241
LBN Legal business name Dillard, Crystal L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2008
Last updated Mar 26th, 2010 - about 14 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 1679723241 NPPES
Alabama Other 515-97317 BCBS
Alabama Other 515-98119 BCBS
Alabama Other 1679723241 BCBS
Alabama Other 515-97316 BCBS
Alabama Other 515-98120 BCBS
Alabama MEDICAID 109018 BCBS
Alabama MEDICAID 109021 BCBS

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