Organization
PROMENTUS PSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CRUMLIN PHD (SOLE PROPRIETOR)
(719) 310-1784
Entity
Organization
Contact information
Practice address
10 E MONUMENT ST, COLORADO SPRINGS, CO 80903-1018
(719) 310-1784
Mailing address
10 E MONUMENT ST, COLORADO SPRINGS, CO 80903-1018
(719) 310-1784
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3000
CO
Other
Enumeration date
08/15/2008
Last updated
12/18/2008
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