| 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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