Reddock, Crysta

Reddock, Crysta is an individual health care provider with primary practice located at 201 College Pl #316, Norfolk VA 23510-0914. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Reddock, Crysta can be contacted via phone (757) 615-3003.

Contact Information

Primary practice address
201 College Pl #316 Norfolk VA 23510-0914
Phone: (757) 615-3003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-9442 Virginia

Profile Details

NPI number 1396013587
LBN Legal business name Reddock, Crysta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2011
Last updated Dec 2nd, 2011 - about 13 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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