Doctor Name: | MR. BRUCE EDWARD DEVEAU |
NPI Number: | 1043301187 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 111489 |
Business Practice Address: | 42 Pleasant St Suite 7 Newburyport, MA - 019502606 |
Business Phone Number: | 9784623287 |
Business Fax Number: | 9784623287 |
Mailing Address: | 42 Pleasant St, Suite 7 NEWBURYPORT |
State: | MA |
Postal Code: | 019502606 |
Phone Number: | 9784623287 |
Fax Number: | 9784623287 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 111489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |