Organization
DR. MARIA B. CRUSE APMG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA B. CRUSE MD (OWNER)
(985) 493-9304
Entity
Organization
Contact information
Practice address
604 NORTH ACADIA ROAD, SUITE 201, THIBODAUX, LA 70301
(985) 493-9304
(985) 493-9305
Mailing address
604 N ACADIA RD, SUITE 201, THIBODAUX, LA 70301-4847
(985) 493-9304
(985) 493-9305
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
09188R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1152919
—
LA
05
—
1650421
—
LA
Enumeration date
04/12/2007
Last updated
06/20/2008
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