Individual
DR. BRUCE J PACE
Active
Individual
DR. BRUCE J PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
00015974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241503
UNIVERA
NY
01
—
000527941001
COMMUNITY BLUE
NY
Enumeration date
06/15/2006
Last updated
02/11/2021
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