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General NPI Number Information
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NPI Number | 1366962581
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Entity Type | Organization
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Legal Business Name | PAULA E. BRUCE, PH.D. & ASSOCIATES, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 9350 WILSHIRE BLVD STE 212
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3204
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Country | US
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Telephone | 310-271-2275
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Fax | 310-271-2275
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Provider Business Mailing Address
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Address Line | 9350 WILSHIRE BLVD STE 212
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3204
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Country | US
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Telephone | 310-271-2275
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PAULA E BRUCE
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Credential | PH.D.
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Telephone | 310-271-2275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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