Organization
CRYSTAL TAYLOR-DIETZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL D TAYLOR-DIETZ PSY.D. (PSYCHOLOGIST)
(401) 451-6242
Entity
Organization
Contact information
Practice address
1801 CONNECTICUT AVE NW, WASHINGTON, DC 20009-5700
(401) 451-6242
Mailing address
1184 CARINOSO CIR, SEVERN, MD 21144-2532
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1001056
DC
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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