National Provider Identifier

Charles Chrystal Jr., PH.D.

Charles Chrystal Jr., PH.D. is listed in the NPPES registry with a primary specialty of Psychologist in Tonawanda, NY and a listed phone number of (716) 836-9460.

NPI 1437370244Tonawanda, NYPsychologist

Profile Overview

NPI
1437370244
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
May 01, 2007
Last Updated
July 08, 2007

Practice Location

  • 884 Brighton RD
  • Tonawanda, NY 14150-8169

Phone: (716) 836-9460

Mailing Address

  • 34 Pelham Dr
  • Buffalo, NY 14214-1219

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1437370244
Entity Type
Individual
Last Name
Chrystal
First Name
Charles
Name Prefix
Dr.
Name Suffix
Jr.
Credential
PH.D.
Mailing Street Address
34 Pelham Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1219
Mailing Country
US
Practice Street Address
884 Brighton RD
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8169
Practice Country
US
Practice Phone
(716) 836-9460
Enumeration Date
May 01, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)