Doctor Name: | DR. JOSEPH E. CRUM |
NPI Number: | 1356477392 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | PY2133 |
Business Practice Address: | 202 Mehlenbacher Rd Belleair, FL - 337561630 |
Business Phone Number: | 7275840368 |
Business Fax Number: | |
Mailing Address: | 202 Mehlenbacher Rd, BELLEAIR |
State: | FL |
Postal Code: | 337561630 |
Phone Number: | 7275840368 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY2133 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |