Crudup Psychological Services | |
10001 Cross Creek Blvd Tampa FL 33647-2581 | |
(386) 243-9220 | |
Not Available |
Full Name | Crudup Psychological Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10001 Cross Creek Blvd, Tampa, Florida |
Authorized Official Name and Position | Bianca M. Crudup (OWNER) |
Authorized Official Contact | 3862439220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crudup Psychological Services Po Box 47122 Tampa FL 33646-0110 Ph: () - | Crudup Psychological Services 10001 Cross Creek Blvd Tampa FL 33647-2581 Ph: (386) 243-9220 |
NPI Number | 1013405281 |
---|---|
Provider Enumeration Date | 04/24/2018 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013405281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY10135 (Florida) | Primary |
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