| Daniel E. Kruger, Llc | |
|
6612 E Carondelet Dr Tucson AZ 85710-2119 | |
| (520) 981-2511 | |
| (520) 514-5233 |
| Full Name | Daniel E. Kruger, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6612 E Carondelet Dr, Tucson, Arizona |
| Authorized Official Name and Position | Daniel E Kruger (OWNER) |
| Authorized Official Contact | 5209812511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel E. Kruger, Llc 5635 E Holmes St Tucson AZ 85711-2447 Ph: (520) 981-2511 | Daniel E. Kruger, Llc 6612 E Carondelet Dr Tucson AZ 85710-2119 Ph: (520) 981-2511 |
| NPI Number | 1619009107 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619009107 | NPI | - | NPPES |
| 886020 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3667 (Arizona) | Primary |
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