Individual
DR. JENNIFER A CHRYSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2760 RASMUSSEN RD STE 205, PARK CITY, UT 84098-5685
(801) 688-3743
Mailing address
2760 RASMUSSEN RD STE 205, PARK CITY, UT 84098-5685
(801) 688-3743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7364547-250427
UT
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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