Individual
DR. BRUCE W. EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., J.D., LL.M.
Contact information
Practice address
775 SUNRISE AVE, SUITE 160, ROSEVILLE, CA 95661-4523
(916) 781-7875
(916) 781-2632
Mailing address
775 SUNRISE AVE, SUITE 160, ROSEVILLE, CA 95661-4523
(916) 781-7875
(916) 781-2632
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY7461
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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