Individual
DR. BRUCE ALAN ABT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
877 W FREMONT AVE STE K5, SUNNYVALE, CA 94087-2319
(408) 736-1111
Mailing address
877 W FREMONT AVE STE K5, SUNNYVALE, CA 94087-2319
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 5191
CA
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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