Individual
BRUCE T BANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD PSYCHOLOGIST
Contact information
Practice address
31 TANNER STREET, HADDONFIELD, NJ 08033
(856) 428-7646
(856) 216-1839
Mailing address
31 TANNER STREET, HADDONFIELD, NJ 08033
(856) 428-7646
(856) 216-1839
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NJ2478
NJ
Other
Enumeration date
10/12/2006
Last updated
08/26/2010
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