Crum, Thomas Alan
Crum, Thomas Alan is an individual health care provider with primary practice located at 4000 Coliseum Dr Ste 200 , Hampton VA 23666-5975. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Crum, Thomas Alan can be contacted via phone (757) 736-8050.Contact Information
Primary practice address
4000 Coliseum Dr Ste 200
Hampton VA 23666-5975
Phone: (757) 736-8050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 0810007760 | Virginia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY6720 | Florida |
Profile Details
| NPI number | 1811053739 |
|---|---|
| LBN Legal business name | Crum, Thomas Alan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Nov 21st, 2023 - about 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811053739 | NPPES |
| Florida | MEDICAID | 107559100 |
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