Individual
DR. CHARLES CHRYSTAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
884 BRIGHTON RD, TONAWANDA, NY 14150-8169
(716) 836-9460
Mailing address
34 PELHAM DR, BUFFALO, NY 14214-1219
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007939-01
NY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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