Organization
DR. WILLOUGHBY AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL MARIE WILLOUGHBY PSYD (CLINICAL PSYCHOLOGIST)
(410) 205-9202
Entity
Organization
Contact information
Practice address
10433B STEVENSON RD, STEVENSON, MD 21153-0602
(410) 205-9202
Mailing address
10433B STEVENSON RD, STEVENSON, MD 21153-0602
(410) 205-9202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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