Provider Demographics
NPI:1598557621
Name:KRUPP PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:KRUPP PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:BAUER
Authorized Official - Last Name:KRUPP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:585-204-0247
Mailing Address - Street 1:3177 LATTA RD # 165
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3094
Mailing Address - Country:US
Mailing Address - Phone:585-204-0247
Mailing Address - Fax:
Practice Address - Street 1:3177 LATTA RD # 165
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-3094
Practice Address - Country:US
Practice Address - Phone:585-204-0247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty