Individual
CRYSTAL ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907
(239) 529-0957
Mailing address
1409 SE 23RD ST, CAPE CORAL, FL 33990-4631
(210) 760-8006
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
RBT-17-41795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023873900
—
FL
Enumeration date
08/21/2018
Last updated
08/20/2019
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