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NPI Code Detail

MEDICARE: STEPHEN CRYER

MEDICARE: STEPHEN CRYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1114371671
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN CRYER
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 5621 READ BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70127-3128
Country : US
Telephone Number : 504-324-7366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 04/26/2023

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Directions to “ STEPHEN CRYER ” Practice Location

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