Polderdyke, Crystal

Polderdyke, Crystal is an sole proprietor health care provider with primary practice located at 6555 15 Mile Rd , Sterling Heights MI 48312-4511. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Polderdyke, Crystal can be contacted via phone (586) 274-0200.

Contact Information

Primary practice address
6555 15 Mile Rd Sterling Heights MI 48312-4511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801089749 Michigan

Profile Details

NPI number 1164677472
LBN Legal business name Polderdyke, Crystal
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2008
Last updated Mar 11th, 2013 - about 11 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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