Individual
CRYSTAL HERYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8121 W QUINAULT AVE STE F202, KENNEWICK, WA 99336-8210
(509) 579-0200
Mailing address
803 S NELSON ST, KENNEWICK, WA 99336-9371
(509) 531-7735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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