Tuck, Crystal
Tuck, Crystal is an sole proprietor health care provider with primary practice located at 300 E College Ave Science Building, Room 409, Hartsville SC 29550-3742. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tuck, Crystal can be contacted via phone (843) 383-8040.Contact Information
Primary practice address
300 E College Ave Science Building, Room 409
Hartsville SC 29550-3742
Phone: (843) 383-8040
Fax: (843) 383-8107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2309 | South Carolina |
Profile Details
| NPI number | 1801991609 |
|---|---|
| LBN Legal business name | Tuck, Crystal |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801991609 | NPPES |
| South Carolina | Other | 173625 | COMP. PSYCH. |
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