Individual
DR. THOMAS ALAN CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4000 COLISEUM DR STE 200, HAMPTON, VA 23666-5975
(757) 736-8050
Mailing address
4000 COLISEUM DR STE 200, HAMPTON, VA 23666-5975
(757) 736-8050
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810007760
VA
103T00000X
Psychologist
PY6720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107559100
—
FL
Enumeration date
12/28/2006
Last updated
11/21/2023
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