| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA L. CRUZ | 1922250513 | 2024-11-08 |
Jessica L. Cruz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922250513. Registration indicates Jessica L. Cruz is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Rehabilitation, ) (Psychologist Rehabilitation, Behavioral Health & Social Service Providers) (Psychologist, ) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Forensic, ) (Psychologist Forensic, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Mental Retardation & Developmental Disabilities, ) (Psychologist Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Clinical Neuropsychologist) (Behavioral Health & Social Service Providers, Clinical Neuropsychologist) (Clinical Neuropsychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Clinical Neuropsychologist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Jessica L. Cruz PHD |
| Practice Office Address | 1416 E MAIN STE F PUYALLUP, WA US |
| Practice Office Telephone | 2534458663 |
| Mailing Address | 1416 E MAIN STE F PUYALLUP, WA 983723170 US |
| Business Telephone | 2534458663 |
| Business Fax | 2534458342 |
| Code | Practice | License No State |
|---|---|---|
| 103TR0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Rehabilitation Psychologist Rehabilitation Behavioral Health & Social Service Providers Psychologist | |
| 103TF0200X | Behavioral Health & Social Service Providers Psychologist Psychologist: Forensic Psychologist Forensic Behavioral Health & Social Service Providers Psychologist | |
| 103TM1800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Mental Retardation & Developmental Disabilities Psychologist Mental Retardation & Developmental Disabilities Behavioral Health & Social Service Providers Psychologist | |
| 103G00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Clinical Neuropsychologist Behavioral Health & Social Service Providers Clinical Neuropsychologist Clinical Neuropsychologist Behavioral Health/Substance Abuse/Psychiatry Clinical Neuropsychologist Behavioral Health & Social Service Providers |