Individual
LAURA M KRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
969 BROADWAY, OAKLAND, CA 94607-4017
(510) 752-1000
Mailing address
969 BROADWAY, OAKLAND, CA 94607-4017
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY16423
CA
Other
Enumeration date
11/21/2006
Last updated
09/19/2014
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