Individual
DR. JARED BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10555 MARTY ST STE 100, OVERLAND PARK, KS 66212-2555
(913) 649-8823
Mailing address
2107 W 78TH ST, PRAIRIE VILLAGE, KS 66208-3812
(401) 499-4043
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1951
KS
103G00000X
Clinical Neuropsychologist
2008007983
MO
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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