Individual
DEAN G CRUESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
207 STORRS RD, MANSFIELD CENTER, CT 06250-1638
(860) 456-4604
(860) 450-1310
Mailing address
PO BOX 174, MANSFIELD CENTER, CT 06250-0174
(860) 456-4604
(860) 450-1310
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002681
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002681CT01
ANTHEM
CT
Enumeration date
09/21/2006
Last updated
10/03/2011
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