Individual
DR. STEVEN JOHN KRUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
645 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 654-9322
(813) 643-1457
Mailing address
645 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 654-9322
(813) 643-1457
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 5932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54614
BCBS ID#
FL
Enumeration date
05/06/2006
Last updated
07/08/2007
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