Individual
DR. BRUCE A. RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1112 MONTANA AVE, SANTA MONICA, CA 90403-1652
(310) 453-6251
(310) 734-1682
Mailing address
1112 MONTANA AVE, SANTA MONICA, CA 90403-1652
(310) 453-6251
(310) 734-1682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17799
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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