| Doctor Name: | MR. RONALD LAWRENCE BRUDER |
| NPI Number: | 1841473279 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | C005527 |
| Business Practice Address: | 2996 Nc 69 Ste 6 Hayesville, NC - 289047258 |
| Business Phone Number: | 8283891795 |
| Business Fax Number: | 8283891658 |
| Mailing Address: | 2996 Nc 69 Ste 6, HAYESVILLE |
| State: | NC |
| Postal Code: | 289047258 |
| Phone Number: | 8283891795 |
| Fax Number: | 8283891658 |
| NPI Enumeration Date: | 12/07/2007 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C005527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |