Individual
DR. NICOLE BOSUSTOW BRULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
220 E 11TH AVE STE 3, EUGENE, OR 97401-3370
(541) 953-3929
Mailing address
220 E 11TH AVE STE 3, EUGENE, OR 97401-3370
(541) 953-3929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1832
OR
Other
Enumeration date
01/17/2007
Last updated
04/22/2024
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