Individual
DR. BERTHA LUCIA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
18 CENTRAL AVE, PORT CHESTER, NY 10573-5004
(914) 934-8045
Mailing address
72 HARBOR DR, STAMFORD, CT 06902-7455
(203) 550-6749
(203) 359-6559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002903
CT
103T00000X
Psychologist
Primary
015979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002903
PSYCHOLOGIST
CT
01
—
015979
PSYCHOLOGIST LICENSE
NY
Enumeration date
09/16/2011
Last updated
09/16/2011
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