Individual
DR. ANGELA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, MA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1870785
NY
103TB0200X
Cognitive & Behavioral Psychologist
1870785
NY
103TS0200X
School Psychologist
1870785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285808949
NPI
NY
05
—
1285808949
—
NY
Enumeration date
04/14/2008
Last updated
05/05/2008
Update your record
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