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NPI Code Detail

MEDICARE: CHRYSTLE PELZER

MEDICARE: CHRYSTLE PELZER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystLBA2496MD

General Provider Information

NPI Number : 1083352447
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRYSTLE PELZER
Provider Business Mailing Address
First Line : 7001 JOHNNYCAKE RD STE 106
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-2419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7001 JOHNNYCAKE RD STE 106
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-2419
Country : US
Telephone Number : 410-774-9840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2022
Last Update Date : 01/20/2026

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Directions to “ CHRYSTLE PELZER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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