Bruce I. Derman Psychological Corporation

NPI 1013345651 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1013345651
Enumeration Date 10/16/2013
Last Updated 12/31/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRUCE I. BRUCE
Position PSYCHOLOGIST
Phone (818) 348-5133
Fax (818) 704-1453
Practice Location
23011 OXNARD ST
WOODLAND HILLS CA, 91367-3232, US
Phone (818) 348-5133
Fax (818) 704-1453
Business Location
23011 OXNARD ST
WOODLAND HILLS CA, 91367-3232, US
Phone (818) 348-5133
Fax (818) 704-1453
Toxanomy
Taxonomy Code 305R00000X
License State California
License Number PSY-3246
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According to our database, Bruce I. Derman Psychological Corporation NPI is 1013345651, taxonomy code is 305R00000X and license number is PSY-3246, license state is located at California. Bruce I. Derman Psychological Corporation physically located at 23011 Oxnard St, Woodland Hills CA, 91367-3232. NPI Number 1033115704 has the healthcare provider type.

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1013345651 NPI number is provided on an as is basis without warranty of any kind. 1013345651 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce I. Derman Psychological Corporation are for informational purposes only.