Organization
TONY BRUDER, PH D & ASSOCIATES P C
Active
Other names
Bruder Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY H. BRUDER PH.D. (OWNER)
(757) 498-9320
Entity
Organization
Contact information
Practice address
289 INDEPENDENCE BLVD, STE 221, VIRGINIA BEACH, VA 23462
(757) 498-9320
(757) 498-9321
Mailing address
289 INDEPENDENCE BLVD, STE 221, VIRGINIA BEACH, VA 23462
(757) 498-9320
(757) 498-9321
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340992
TRICARE GROUP PROVIDER #
VA
Enumeration date
09/28/2006
Last updated
06/22/2015
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