Individual
MR. BRUCE ALLEN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 LAKE SHIRE DR, WEST COLUMBIA, SC 29170-3042
(803) 606-3570
Mailing address
1109 LAKE SHIRE DR, WEST COLUMBIA, SC 29170-3042
(803) 606-3570
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WP9901
—
SC
Enumeration date
11/02/2006
Last updated
07/09/2007
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