Individual
DR. CRYSTAL MARIE WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10433B STEVENSON RD, STEVENSON, MD 21153-0602
(410) 205-9202
Mailing address
10433B STEVENSON RD, STEVENSON, MD 21153-0602
(410) 205-9202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05569
MD
Other
Enumeration date
09/13/2007
Last updated
01/30/2017
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