Provider Demographics
NPI:1528293529
Name:CRUZ, LUZ NEIDA (MA,CAGS COUN/PSY)
Entity type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:NEIDA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MA,CAGS COUN/PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 WYVERN ST
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-2137
Mailing Address - Country:US
Mailing Address - Phone:617-909-7066
Mailing Address - Fax:
Practice Address - Street 1:1960 WASHINGTON ST.
Practice Address - Street 2:PYRAMID BUILDERS ASSOCIATES INC.
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-516-0280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical