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CHRYSTAL TARRYN FULLEN PSYD NPI 1053768911


NPI Information

NPI: 1053768911
Provider Name: CHRYSTAL TARRYN FULLEN, PSYD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4301 W MARKHAM ST # 589
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 526-8284
Get Directions

Chrystal Tarryn Fullen, PSYD is a clinical neuropsychologist in Little Rock, AR with 5 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Chrystal Tarryn Fullen, PSYD NPI is 1053768911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4301 W MARKHAM ST # 589
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 526-8284

The NPI 1053768911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist19-32AP-PLARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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