Shepard, Crystal

Shepard, Crystal is an sole proprietor health care provider with primary practice located at 821 E Main St Apt B-6, Riverhead NY 11901-2500. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Shepard, Crystal can be contacted via phone (631) 512-6523.

Contact Information

Primary practice address
821 E Main St Apt B-6 Riverhead NY 11901-2500
Phone: (631) 512-6523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 094468 New York

Profile Details

NPI number 1164853438
LBN Legal business name Shepard, Crystal
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2013
Last updated Mar 17th, 2015 - about 10 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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