Crucian, Gregory P

Crucian, Gregory P is an individual health care provider with primary practice located at 650 Huebner Rd Fort Riley, Fort Riley KS 66442. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Crucian, Gregory P can be contacted via phone (850) 883-8150.

Contact Information

Primary practice address
650 Huebner Rd Fort Riley Fort Riley KS 66442
Phone: (850) 883-8150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5730 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5730 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY5730 Florida

Profile Details

NPI number 1457396293
LBN Legal business name Crucian, Gregory P
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Oct 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457396293 NPPES
Florida MEDICAID 371230300

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