Provider Demographics
NPI:1215384235
Name:KRUER, MISELENE (MS)
Entity Type:Individual
Prefix:
First Name:MISELENE
Middle Name:
Last Name:KRUER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MISELENE
Other - Middle Name:
Other - Last Name:DESARMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:30209 RATTANA CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-1367
Mailing Address - Country:US
Mailing Address - Phone:813-470-0109
Mailing Address - Fax:
Practice Address - Street 1:1437 S BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-2829
Practice Address - Country:US
Practice Address - Phone:727-524-4464
Practice Address - Fax:727-538-7272
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health