Crystal Dorn
Individual provider Active NPI School Psychologist · Springdale, MD
NPI 1922437359 · NPPES record last updated Nov 6, 2013
Key facts
- NPI
- 1922437359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 2511 Lemontree LN
Springdale, MD 20774-7537 - Phone
- (301) 919-0350
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
2511 Lemontree LN
Springdale, MD 20774-7537
Mailing address
2511 Lemontree LN
Springdale, MD 20774-7537
Phone (301) 919-0305
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.