Provider Demographics
NPI:1467402735
Name:MORGAN, CRYSTAL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HWY 70 E
Mailing Address - Street 2:STE 1
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055
Mailing Address - Country:US
Mailing Address - Phone:615-740-0216
Mailing Address - Fax:615-740-0227
Practice Address - Street 1:102 HWY 70 E
Practice Address - Street 2:STE 1
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055
Practice Address - Country:US
Practice Address - Phone:615-740-0216
Practice Address - Fax:615-740-0227
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1875103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0005633539OtherAETNA
TN3077719OtherBLUE CROSS BLUE SHIELD
TN104051OtherVALUE OPTIONS
TN175795OtherCOMPSYCH
TN61-54556OtherUBH
TN61-54556OtherUBH