Doctor Name: | DR. JOAN A. BRUCE |
NPI Number: | 1417960808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, ED.D. |
License Number: | 84751-PC |
Business Practice Address: | 572 Route 28 West Yarmouth, MA - 026734909 |
Business Phone Number: | 5087750719 |
Business Fax Number: | 5087755309 |
Mailing Address: | 500 Victory Rd, QUINCY |
State: | MA |
Postal Code: | 021713139 |
Phone Number: | 6178471950 |
Fax Number: | 6177741490 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 84751-PC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |