Individual
DR. JAMES JONATHAN BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
355TH MEDICAL GROUP, 4175 S ALAMO AVE., TUCSON, AZ 85707
(520) 228-2778
Mailing address
3253 N BEND RD, CINCINNATI, OH 45239-7610
(513) 662-9900
(513) 662-9902
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3282
OH
103TC0700X
Clinical Psychologist
Primary
3282
OH
103TC2200X
Clinical Child & Adolescent Psychologist
3282
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3282
OH
Other
Enumeration date
02/21/2006
Last updated
01/25/2023
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