Individual
DR. RICK ANTHONY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-6405
(435) 797-3401
Mailing address
1034 THRUSHWOOD DR, LOGAN, UT 84321-4828
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
9369974-2501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
9369974-2501
UT
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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