| Doctor Name: | MR. LINDSEY J. BRUINS |
| NPI Number: | 1205041316 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RCS, LCDP |
| License Number: | |
| Business Practice Address: | 101 Franklin St Westerly, RI - 028913198 |
| Business Phone Number: | 4013489995 |
| Business Fax Number: | 4013482004 |
| Mailing Address: | 101 Franklin St, WESTERLY |
| State: | RI |
| Postal Code: | 028913198 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |