Crystal Eddy

Psychologist · Port Huron, MI

Individual Active NPI

NPI number 1558785568

Practice location

2186 Water St
Port Huron, MI 48060-2543
Phone
(989) 723-6791

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NPI record

NPI
1558785568
Entity type
Individual (Type 1)
Enumeration date
February 11, 2014
Last updated
June 20, 2024
Certified
June 20, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 6301013666 MI

Mailing address

PO Box 428
Owosso, MI 48867-0428

About Crystal Eddy

Crystal Eddy is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 2186 Water St, Port Huron, MI 48060-2543. The NPI number 1558785568 was assigned on February 11, 2014 and the record was last updated on June 20, 2024.

Crystal Eddy lists a license in the registry: #6301013666 (MI) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Eddy?

The NPI number is 1558785568.

What is the phone number of Crystal Eddy?

The phone number listed for the practice location is (989) 723-6791.

Where is Crystal Eddy located?

2186 Water St, Port Huron, MI 48060-2543.

What is the taxonomy code for Crystal Eddy?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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