Organization
CRUDUP PSYCHOLOGICAL SERVICES LLC
Active
Other names
Crudup Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIANCA M. CRUDUP PHD (OWNER)
(386) 243-9220
Entity
Organization
Contact information
Practice address
10001 CROSS CREEK BLVD, TAMPA, FL 33647-2581
(386) 243-9220
Mailing address
PO BOX 47122, TAMPA, FL 33646-0110
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PY10135
FL
Other
Enumeration date
04/24/2018
Last updated
06/16/2018
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