Individual
DR. BRUCE PHILLIP JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
300 FOXCROFT AVE, SUITE 306, MARTINSBURG, WV 25401
(304) 267-1663
(304) 267-1663
Mailing address
PO BOX 2712, 300 FOXCROFT AVE SUITE 306, MARTINSBURG, WV 25402-2712
(304) 267-1663
(304) 267-1663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
291
WV
Other
Enumeration date
08/21/2006
Last updated
06/16/2012
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