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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL SMITH

Active Sole Proprietor

CRYSTAL SMITH is a Psychiatric/Mental Health, Community CNS healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1184480774 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health, Community CNS · TAHLEQUAH, OK

Registration Details

NPI Number
1184480774
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2024 (2.517201748209 yrs)
Last Updated
Feb 22, 2024
License
56072 (OK)
Sole Proprietor
Yes

Practice Information

Address
711 S MUSKOGEE AVE
TAHLEQUAH, OK, 744644717
Browse OK providers · Browse ZIP 74464
Phone
9182070078
Primary Specialty
Psychiatric/Mental Health, Community CNS
364SP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.