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General NPI Number Information
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NPI Number | 1518465822
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Entity Type | Organization
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Legal Business Name | CRYSTAL L. OSWALT, PH.D., COUNSELING & CONSULTING SERVICES INC.
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 316 W MARKET ST
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City | CELINA
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State | OH
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Zip | 45822-2125
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Country | US
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Telephone | 419-586-3900
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Fax | 419-586-3338
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Provider Business Mailing Address
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Address Line | 316 W MARKET ST
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City | CELINA
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State | OH
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Zip | 45822-2125
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Country | US
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Telephone | 419-586-3900
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Fax | 419-586-3338
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Authorized Official
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Title or Position | PSYCHOLOGIST/CEO/OWNER
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Name | DR. CRYSTAL LYNN OSWALT
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Credential | PH.D.
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Telephone | 419-586-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3620
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License Number State | OH
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