| Dr. Maria B. Cruse Apmg | |
|
604 North Acadia Road Suite 201 Thibodaux LA 70301 | |
| (985) 493-9304 | |
| (985) 493-9305 |
| Full Name | Dr. Maria B. Cruse Apmg |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 604 North Acadia Road, Thibodaux, Louisiana |
| Authorized Official Name and Position | Maria B. Cruse (OWNER) |
| Authorized Official Contact | 9854939304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Maria B. Cruse Apmg 604 N Acadia Rd Suite 201 Thibodaux LA 70301-4847 Ph: (985) 493-9304 | Dr. Maria B. Cruse Apmg 604 North Acadia Road Suite 201 Thibodaux LA 70301 Ph: (985) 493-9304 |
| NPI Number | 1013131267 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013131267 | NPI | - | NPPES |
| 1650421 | Medicaid | LA | |
| 1152919 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 09188R (Louisiana) | Primary |
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