Doctor Name: | MR. PETER ROBERT BRONSTEIN |
NPI Number: | 1033491113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP, LMHC |
License Number: | 3791 |
Business Practice Address: | 237 George Bush Blvd Delray Beach, FL - 334444034 |
Business Phone Number: | 5612725373 |
Business Fax Number: | |
Mailing Address: | 237 George Bush Blvd, DELRAY BEACH |
State: | FL |
Postal Code: | 334444034 |
Phone Number: | 5612725373 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2011 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3791 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |