Organization Name: | BRUGMAN AND BENDER PC |
NPI Number: | 1447301031 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN BENDER (LICENSED PSYCHOLOGIST-PRESIDENT) |
Mailing Address: | 168 Killam Hill Rd Boxford |
State: | MA US |
Postal Code: | 019211723 |
Phone Number: | 9789798337 |
Fax Number: | 9788876470 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |