| Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. | |
|
316 W Market St Celina OH 45822-2125 | |
| (419) 586-3900 | |
| (419) 586-3338 |
| Full Name | Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 316 W Market St, Celina, Ohio |
| Authorized Official Name and Position | Crystal Lynn Oswalt (PSYCHOLOGIST/CEO/OWNER) |
| Authorized Official Contact | 4195863900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. 316 W Market St Celina OH 45822-2125 Ph: (419) 586-3900 | Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. 316 W Market St Celina OH 45822-2125 Ph: (419) 586-3900 |
| NPI Number | 1518465822 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 2567722838 |
|---|---|
| Medicare Enrollment ID | O20180206000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518465822 | NPI | - | NPPES |
| 1255498465 | Other | OH | CORE SOURCE |
| 1255498465 | Other | OH | ANTHEM |
| 1255498465 | Other | OH | BLUE CROSS BLUE SHIELD |
| 1255498465 | Medicaid | OH | |
| 1255498465 | Other | OH | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3620 (Ohio) | Primary |
| Provider Name | Crystal Oswalt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255498465 PECOS PAC ID: 6002176385 Enrollment ID: I20180206000968 |
| Provider Name | Tammie Prenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821769985 PECOS PAC ID: 0042609448 Enrollment ID: I20211104002566 |
| Provider Name | Tammy Nunnally |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053789743 PECOS PAC ID: 8628413986 Enrollment ID: I20240227002552 |
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