Provider Demographics
NPI:1417578857
Name:DOL, CHRYSTEL (MD)
Entity Type:Individual
Prefix:
First Name:CHRYSTEL
Middle Name:
Last Name:DOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WATTS CIR APT 116
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4410
Mailing Address - Country:US
Mailing Address - Phone:516-425-6325
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PSYCHIATRY & BEHAVIORAL SCIENCES
Practice Address - Street 2:1005 DR. D. B. TODD JR. BLVD
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3720
Practice Address - Country:US
Practice Address - Phone:615-327-6314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program