Individual
DR. JESSICA L. CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1416 E MAIN STE F, PUYALLUP, WA 98372-3170
(253) 445-8663
Mailing address
1416 E MAIN STE F, PUYALLUP, WA 98372-3170
(253) 445-8663
(253) 445-8342
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
10/15/2008
Last updated
11/08/2024
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