Doctor Name: | DR. RICHARD L BRUNO |
NPI Number: | 1023038445 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HD PHD |
License Number: | 35S100280500 |
Business Practice Address: | 151 Prospect Ave 17a Hackensack, NJ - 076012209 |
Business Phone Number: | 2013426777 |
Business Fax Number: | 2013426777 |
Mailing Address: | 151 Prospect Ave, 17a HACKENSACK |
State: | NJ |
Postal Code: | 076012209 |
Phone Number: | 2013426777 |
Fax Number: | 2013426777 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35S100280500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |