| Thomas A. Crum, Ph.d., Pa | |
|
450 N Park Rd Suite 502 Hollywood FL 33021-6917 | |
| (954) 964-7701 | |
| (954) 653-1413 |
| Full Name | Thomas A. Crum, Ph.d., Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 450 N Park Rd, Hollywood, Florida |
| Authorized Official Name and Position | Thomas Alan Crum (PRESIDENT) |
| Authorized Official Contact | 9549647701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A. Crum, Ph.d., Pa 450 N Park Rd Suite 502 Hollywood FL 33021-6917 Ph: (954) 964-7701 | Thomas A. Crum, Ph.d., Pa 450 N Park Rd Suite 502 Hollywood FL 33021-6917 Ph: (954) 964-7701 |
| NPI Number | 1275826125 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Medicare PECOS PAC ID | 5092618595 |
|---|---|
| Medicare Enrollment ID | O20040131000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275826125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY6720 (Florida) | Primary |
| Provider Name | Thomas A Crum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811053739 PECOS PAC ID: 6901709401 Enrollment ID: I20110628000863 |
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