Individual
DR. JEFFREY R. BRUSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.BH., ESQ.
Contact information
Practice address
23 NORTH RD A-23, PEACE DALE, RI 02879
(401) 831-6277
Mailing address
NEUROBEHAVIORAL CONSULTANTS, LLC, 2893 POST RD, WARWICK, RI 02886
(401) 831-6277
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS01761
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01761
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11549500
CAQH
—
05
—
JB00075
—
RI
Enumeration date
12/08/2006
Last updated
03/31/2022
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