Organization
THOMAS A. CRUM, PH.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALAN CRUM PH.D. (PRESIDENT)
(954) 964-7701
Entity
Organization
Contact information
Practice address
450 N PARK RD, SUITE 502, HOLLYWOOD, FL 33021-6917
(954) 964-7701
(954) 653-1413
Mailing address
450 N PARK RD, SUITE 502, HOLLYWOOD, FL 33021-6917
(954) 964-7701
(954) 653-1413
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY6720
FL
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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