Healthcare Provider Details

I. General information

NPI: 1225578271
Provider Name (Legal Business Name): SUMMER BRUCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3836 N YORK ST
DENVER CO
80205-3540
US

IV. Provider business mailing address

3625 STRAWBERRY FIELD GRV UNIT B
COLORADO SPRINGS CO
80906-6355
US

V. Phone/Fax

Practice location:
  • Phone: 303-294-5635
  • Fax:
Mailing address:
  • Phone: 719-271-7598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09924433
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: