Family Psychology And Counseling

NPI 1730446410 - Counselor - 101YP2500X

NPI Details
NPI 1730446410
Enumeration Date 04/18/2012
Last Updated 04/18/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRUCE KQ BRUCE
Position MEDICAL PSYCHOLOGIST/OWNER
Phone (318) 865-7500
Fax (318) 868-2035
Practice Location
1513 LINE AVE
SUITE 305
SHREVEPORT LA, 71101-4621, US
Phone (318) 865-7500
Fax (318) 868-2035
Business Location
1513 LINE AVE
SUITE 305
SHREVEPORT LA, 71101-4621, US
Phone (318) 865-7500
Fax (318) 868-2035
Toxanomy
Taxonomy Code 101YP2500X
License State
License Number
Remove 1730446410 NPI Number
 

According to our database, Family Psychology And Counseling NPI is 1730446410, taxonomy code is 101YP2500X Family Psychology And Counseling physically located at 1513 Line Ave, Shreveport LA, 71101-4621. NPI Number 1033115704 has the healthcare provider type.

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1730446410 NPI number is provided on an as is basis without warranty of any kind. 1730446410 is maintained by the National Plan & Provider Enumeration System. The contents of Family Psychology And Counseling are for informational purposes only.