Individual
DR. CARLYLE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1961 N DRUID HILLS RD NE, ATLANTA, GA 30329-1842
(404) 315-8333
Mailing address
4708 ELAM FOREST DR, STONE MOUNTAIN, GA 30083-4929
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0002627
GA
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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