Provider Type Icon

CHRYSTAL L SHOUP NPI 1184010357


NPI Information

NPI: 1184010357
Provider Name: CHRYSTAL L SHOUP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
50 BROOKSIDE RD
WATERBURY, CT
ZIP 06708
Phone: (860) 987-9704
Get Directions

Chrystal L Shoup is a professional counselor in Waterbury, CT. Chrystal L Shoup NPI is 1184010357. 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:

50 BROOKSIDE RD
WATERBURY, CT
ZIP 06708-402
Phone: (860) 987-9704

The enumeration date for this NPI number is 4/14/2015 and was last updated on 4/14/2015.


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
1101YM0800XCounselorMental HealthNo
2101Y00000XCounselorNo
3101YP2500XCounselorProfessionalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.