Individual
DR. NATHAN BRUSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
5230 E 69TH PL, TULSA, OK 74136-3407
(918) 280-0101
(844) 752-8249
Mailing address
5230 E 69TH PL, TULSA, OK 74136-3407
(918) 280-0101
(844) 752-8249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1247
OK
Other
Enumeration date
10/26/2015
Last updated
05/15/2016
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