| Doctor Name: | DR. ANTHONY H BRUDER |
| NPI Number: | 1972588994 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMFT LPC PHD |
| License Number: | 0701000704 |
| Business Practice Address: | 289 Independence Blvd Pembroke 3 Ste 221 Virginia Beach, VA - 234625493 |
| Business Phone Number: | 7574989320 |
| Business Fax Number: | 7574989321 |
| Mailing Address: | 289 Independence Blvd, Pembroke 3 Ste 221 VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234625493 |
| Phone Number: | 7574989320 |
| Fax Number: | 7574989321 |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0701000704 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |