Individual
BRUCE ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
415 N CAMDEN DR STE 106, BEVERLY HILLS, CA 90210-4436
(323) 819-9991
Mailing address
415 N CAMDEN DR STE 106, BEVERLY HILLS, CA 90210-4436
(323) 819-9991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21012
CA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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