Provider Demographics
NPI:1558708834
Name:QUARRY, CRYSTAL LAYNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:LAYNE
Last Name:QUARRY
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 1:2029 AVENIDA FELICIANO
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-1008
Mailing Address - Country:US
Mailing Address - Phone:424-903-6520
Mailing Address - Fax:
Practice Address - Street 1:225 AVENUE I STE 204
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5608
Practice Address - Country:US
Practice Address - Phone:424-903-6520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2019-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94022808103TC0700X
CAPSY29982103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical