MEDICARE: PAULA E. BRUCE, PH.D. & ASSOCIATES, A PSYCHOLOGICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1366962581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAULA E. BRUCE, PH.D. & ASSOCIATES, A PSYCHOLOGICAL CORPORATION

Provider Business Mailing Address
First Line	:	9350 WILSHIRE BLVD STE 212
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3204
Country	:	US
Telephone Number	:	310-271-2275
Fax Number	:

Provider Business Practice Location Address
First Line	:	9350 WILSHIRE BLVD STE 212
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3204
Country	:	US
Telephone Number	:	310-271-2275
Fax Number	:	310-271-2275

Authorized Official
Title or Position	:	CEO
Name	:	DR. PAULA E BRUCE
Credential	:	PH.D.
Telephone Number	:	310-271-2275

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	10/15/2024

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