Doctor Name: | MRS. LEANN ELIZABETH BRUCE |
NPI Number: | 1295785954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1683 |
Business Practice Address: | Building 851 Fort Knox, KY - 40121 |
Business Phone Number: | 5026240708 |
Business Fax Number: | |
Mailing Address: | 1439 Hinton Hills Loop, HARDINSBURG |
State: | KY |
Postal Code: | 401436371 |
Phone Number: | 2702570907 |
Fax Number: | 2702578088 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |