Healthcare Provider Details

I. General information

NPI: 1376843789
Provider Name (Legal Business Name): MELISSA KRULIK PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA MARCUS KRULIK PH.D.

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8309 BANPO BRIDGE WAY
DELRAY BEACH FL
33446-0029
US

IV. Provider business mailing address

8309 BANPO BRIDGE WAY
DELRAY BEACH FL
33446-0029
US

V. Phone/Fax

Practice location:
  • Phone: 561-906-3691
  • Fax:
Mailing address:
  • Phone: 561-906-3691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: