Carolyn J Cruse is a Clinical in Dallas, Texas. Carolyn J Cruse practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn J Cruse is 1790852622. The last update date is 2007-09-18.
Carolyn J Cruse's current location address is 5501 Bryan St, Dallas, Texas. You can contact this provider via phone number 2148282603 and fax number 2148284954. The mailing address for Carolyn J Cruse is 5501 Bryan St, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn J Cruse |
|---|---|
| Address | 5501 Bryan St, Dallas, Texas |
| Phone Number | 2148282603 |
| Fax Number | 2148284954 |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1790852622 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 5501 Bryan St |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752068103 |
| Phone Number | 2148282603 |
| Fax Number | 2148284954 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 33253 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 185673401 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Carolyn J Cruse by the Centers for Medicare & Medicaid Services?
The Carolyn J Cruse has been issued the NPI (National Provider Identifier) 1790852622. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carolyn J Cruse is physically located?
The Carolyn J Cruse is physically situated at the following address: 5501 Bryan St, Dallas, TX, 752068103.
What is Carolyn J Cruse's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carolyn J Cruse's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Carolyn J Cruse receive its 1790852622 assignment?
The Carolyn J Cruse was assigned its 1790852622 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Carolyn J Cruse, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolyn J Cruse, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-18.