Individual
AMBER VERNELL BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPATA
Contact information
Practice address
861 CORPORATE DR STE 101, LEXINGTON, KY 40503-5461
(859) 971-2585
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
271524
KY
221700000X
Art Therapist
—
—
Other
Enumeration date
06/28/2021
Last updated
07/21/2021
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