Individual
DR. JENNIFER L BRUCE-MCGOLDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA-D
Contact information
Practice address
10526 PALM COVE AVE, TAMPA, FL 33647-2987
(813) 994-5890
Mailing address
10526 PALM COVE AVE, TAMPA, FL 33647-2987
(813) 994-5890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-01-0483
FL
103TC0700X
Clinical Psychologist
Primary
PY7716
FL
Other
Enumeration date
10/21/2005
Last updated
05/13/2009
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