Provider Demographics
NPI:1669800629
Name:WEEKS, CRISTAL ELIZABETH (PHD)
Entity type:Individual
Prefix:MS
First Name:CRISTAL
Middle Name:ELIZABETH
Last Name:WEEKS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:CRISTAL
Other - Middle Name:ELIZABETH
Other - Last Name:ELWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2054 DAUPHIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-1929
Mailing Address - Country:US
Mailing Address - Phone:251-635-4541
Mailing Address - Fax:
Practice Address - Street 1:2054 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606
Practice Address - Country:US
Practice Address - Phone:251-635-4541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist