Doctor Name: | DR. BRUCE MICHAEL ALBERT |
NPI Number: | 1407826936 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS-004891-L |
Business Practice Address: | 400 Pine Brook Pl Suite4 Orwigsburg, PA - 179612350 |
Business Phone Number: | 5703663739 |
Business Fax Number: | 5703663708 |
Mailing Address: | 2120 Tulpehocken Rd, WYOMISSING |
State: | PA |
Postal Code: | 196101018 |
Phone Number: | 6103764890 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS-004891-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |