Individual
DR. LAUREL LEE BRUCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15321 S DIXIE HWY, SUITE 202, VILLAGE OF PALMETTO BAY, FL 33157-1814
(305) 232-6463
(305) 232-4465
Mailing address
15321 S DIXIE HWY, SUITE 202, VILLAGE OF PALMETTO BAY, FL 33157-1814
(305) 232-6463
(305) 232-4465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004291
FL
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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