Individual
CRYSTAL SOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 W 23RD ST STE 1, ERIE, PA 16506-5802
(814) 459-2755
(814) 456-4873
Mailing address
4950 W 23RD ST STE 1, ERIE, PA 16506-5802
(814) 459-2755
(814) 456-4873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000290
PA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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