Krull, Crystal Rose

Krull, Crystal Rose is an individual health care provider with primary practice located at 1117 S Grant St , Stockton CA 95206-1626. 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. Krull, Crystal Rose can be contacted via phone (916) 955-9984.

Contact Information

Primary practice address
1117 S Grant St Stockton CA 95206-1626
Phone: (916) 955-9984
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 26496 California

Profile Details

NPI number 1720108335
LBN Legal business name Krull, Crystal Rose
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jun 22nd, 2023 - about last year

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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