Individual
MARK R BRUGUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
751 S BASCOM AVE, MAIN JAIL-PSYCHOLOGY, SAN JOSE, CA 95128-2604
(408) 808-5212
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
9456
CA
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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