| Doctor Name: | MS. SUSAN P CHRYSTAL |
| NPI Number: | 1003010091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MDIV |
| License Number: | |
| Business Practice Address: | 16 Madison Ave Madison, NJ - 07940 |
| Business Phone Number: | 9738220707 |
| Business Fax Number: | |
| Mailing Address: | 129 Hillcrest Ave, SUMMIT |
| State: | NJ |
| Postal Code: | 07901 |
| Phone Number: | 9084036597 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |