Individual
KRYSTAL WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
501 BELLE HALL PKWY UNIT 202, MOUNT PLEASANT, SC 29464-8322
(843) 620-7748
Mailing address
501 BELLE HALL PKWY UNIT 202, MOUNT PLEASANT, SC 29464-8322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016911
MI
Other
Enumeration date
08/21/2017
Last updated
07/12/2022
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