MR. DAVID JOHN CRUZAN M.S., L.G.P.C. - NPI 1366892234

Q: What is David Cruzan's NPI number?

The NPI number for David Cruzan is 1366892234. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is David Cruzan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for David Cruzan was last updated on July 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. David John Cruzan M.s., L.g.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID JOHN CRUZAN M.S., L.G.P.C. (NPI 1366892234) is an individual professional provider in Frederick, Maryland, licensed in Maryland (LGP7105) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1366892234

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. DAVID JOHN CRUZANCredential: M.S., L.G.P.C.

Location Address116 RECORD STFrederick, MD 21701-5418

Mailing Address116 Record StFrederick, MD 21701-5418 · (301) 620-8700 · Fax (301) 620-8710

Phone(301) 620-8700

Fax(301) 620-8710

Sole ProprietorNo

Enumeration DateJune 21, 2016

Last NPPES UpdateJuly 5, 2016

✔ NPI 1366892234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LGP7105

116 RECORD ST, Frederick, MD 21701

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA R SHEPP

Counselor (Professional)