Individual
DR. RANDAL CLAY BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
37000 GRAND RIVER AVE STE 325, FARMINGTON HILLS, MI 48335-2868
(248) 624-8181
(855) 624-8161
Mailing address
PO BOX 3380, FARMINGTON HILLS, MI 48333-3380
(248) 624-8181
(855) 624-8161
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301007332
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301007332
MI
103TC0700X
Clinical Psychologist
6301007332
MI
Other
Enumeration date
10/12/2005
Last updated
05/21/2023
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