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Contact Information

CRYSTAL L DEWEESE, MD
515 ENTERPRISE DR
LOWELL, AR72745-8975
 Phone: 479-717-7626
 Fax: 471-717-7327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CRYSTAL L DEWEESE · (Female)

NPI Number 1275709545
Status Active
Credentials MD
Entity Individual
Enumeration date 05/06/2008
Last updated 08/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-7395
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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