Individual
DR. BRUCE NATHANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-2700
Mailing address
2 CARRIAGE HOUSE CT, HYDE PARK, NY 12538-1506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7061
NY
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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