Individual provider · Type 1 NPI
Crystal Rose Bullard, MD
Child & Adolescent Psychiatry Physician · Charlotte, NC
NPI number
1649432469
Active
Practice location
6845 Fairview Rd Ste 21
Charlotte, NC 28210-3363
Fax (980) 249-4142
Mailing address
3525 Rea Forest Dr
Charlotte, NC 28226-3193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 2013-00024 (NC) |
| Psychiatry Physician | 2084P0800X | 2013-00024 (NC) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1649432469
Crystal Rose Bullard, MD's National Provider Identifier is 1649432469, issued on Jul 2, 2008. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Charlotte, NC. The record was last updated on Nov 14, 2024.