Individual
KRYSTAL LYNNE DRAKE
Active
Individual
KRYSTAL LYNNE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7548
OH
103TC0700X
Clinical Psychologist
Primary
P.7548
OH
103TC1900X
Counseling Psychologist
2012035182
MO
103TH0004X
Health Psychologist
P.7548
OH
103TR0400X
Rehabilitation Psychologist
P.7548
OH
Other
Enumeration date
10/30/2012
Last updated
08/13/2026
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