Provider Demographics
NPI:1548426166
Name:ARCHABLE, CRYSTAL (PHD)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:
Last Name:ARCHABLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9221 S CYPRESS CIR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2458
Mailing Address - Country:US
Mailing Address - Phone:954-442-1296
Mailing Address - Fax:
Practice Address - Street 1:9112 GRIFFIN RD
Practice Address - Street 2:SUITE C
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-3540
Practice Address - Country:US
Practice Address - Phone:954-805-9321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 3866103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical