Individual
JOHN PAUL CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
645 PLUMAS ST, RENO, NV 89509-1730
(775) 657-9597
(775) 562-7570
Mailing address
645 PLUMAS ST, RENO, NV 89509-1730
(775) 657-9597
(775) 322-2964
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0880
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578113601
—
NV
05
—
1598234924
—
NV
Enumeration date
11/14/2018
Last updated
10/17/2019
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