Individual
DR. AMY KRUKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2300 ADAMS AVE, SCRANTON, PA 18509-1514
(570) 677-8454
Mailing address
2300 ADAMS AVE, SCRANTON, PA 18509-1514
(570) 677-8454
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018214
PA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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