NPI | 1457396293 |
---|---|
Other Name | GREGORY PAUL CRUCIAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY5730) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY5730) |
103TC0700X Psychologist, Clinical (Licence: FL PY5730) | |
Enumeration Date | 2006-06-17 |
Last Update Date | 2023-10-27 |