Provider Demographics
NPI:1174827729
Name:DEVLIN, CRYSTAL (CD(DONA))
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4070 CALIFORNIA RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2215
Mailing Address - Country:US
Mailing Address - Phone:716-997-0646
Mailing Address - Fax:
Practice Address - Street 1:4070 CALIFORNIA RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2215
Practice Address - Country:US
Practice Address - Phone:716-997-0646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula