Individual
DR. JENNIFER KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5151 E BROADWAY BLVD, STE 1600, TUCSON, AZ 85711-3777
(520) 222-8061
Mailing address
1517 N WILMOT RD # 121, TUCSON, AZ 85712-4410
(520) 222-8061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 27663
CA
103T00000X
Psychologist
Primary
PSY-005113
AZ
Other
Enumeration date
10/05/2015
Last updated
08/07/2020
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