Organization
DMHG PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY DENISE DECRUISE PSY.D (MGMR/OWNER)
(305) 877-7051
Entity
Organization
Contact information
Practice address
4963 SW 128TH TER, MIRAMAR, FL 33027-5508
(305) 877-7051
Mailing address
4963 SW 128TH TER, MIRAMAR, FL 33027-5508
(305) 877-7051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 7636
FL
Other
Enumeration date
01/10/2008
Last updated
03/06/2013
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