Individual
CRYSTAL MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1110 YANKEE DOODLE RD, EAGAN, MN 55121-2092
(651) 464-3970
(651) 241-0059
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6735
MN
103T00000X
Psychologist
PY60912419
WA
103T00000X
Psychologist
—
—
Other
Enumeration date
05/17/2018
Last updated
01/13/2022
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