Organization
CENTER FOR NEUROPSYCHOLOGICAL ASSESSMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALAN CRUM PH.D. (PRESIDENT)
(954) 258-7646
Entity
Organization
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 258-7646
Mailing address
319 DESOTO ST, HOLLYWOOD, FL 33019-4501
(954) 258-7646
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY6720
FL
Other
Enumeration date
03/16/2011
Last updated
08/15/2011
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