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Individual
DR. JEFFREY R. BRUSINI
Active
Individual
DR. JEFFREY R. BRUSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.BH., ESQ.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS01761
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01761
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11549500
CAQH
—
05
—
JB00075
—
RI
Enumeration date
12/08/2006
Last updated
03/31/2022
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