Individual
MR. BRUCE EDWARD HUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2015 MAXWELL AVE, EVANSVILLE, IN 47711
(812) 422-7974
(812) 422-8163
Mailing address
2015 MAXWELL AVE, EVANSVILLE, IN 47711
(812) 422-7974
(812) 422-8163
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243050B
—
IN
Enumeration date
07/07/2006
Last updated
05/26/2010
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