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Organization

CRYSTAL L. OSWALT, PH.D., COUNSELING & CONSULTING SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRYSTAL LYNN OSWALT PH.D. (PSYCHOLOGIST/CEO/OWNER)
(419) 586-3900
Entity
Organization

Contact information

Practice address
316 W MARKET ST, CELINA, OH 45822-2125
(419) 586-3900
(419) 586-3338
Mailing address
316 W MARKET ST, CELINA, OH 45822-2125
(419) 586-3900
(419) 586-3338

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3620
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255498465
CORE SOURCE
OH
05
1255498465
OH
Enumeration date
02/01/2018
Last updated
06/16/2018
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