Individual
DANIEL BRUINING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
500 SCHOOL ST, CLARKS SUMMIT, PA 18411-1508
(570) 586-3587
(570) 586-3587
Mailing address
500 SCHOOL ST, CLARKS SUMMIT, PA 18411-1508
(570) 586-3587
(570) 586-3587
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301011261
MI
103G00000X
Clinical Neuropsychologist
Primary
PS 006496L
PA
Other
Enumeration date
01/22/2008
Last updated
06/02/2008
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