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NPI Code Detail

MEDICARE: DR. BRUCE MENAPACE PHD

MEDICARE:  DR. BRUCE  MENAPACE  PHD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistP5497OH

General Provider Information

NPI Number : 1588594634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE MENAPACE PHD
Provider Business Mailing Address
First Line : 3358 E 137TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-3902
Country : US
Telephone Number : 216-577-0191
Fax Number :
Provider Business Practice Location Address
First Line : 3358 E 137TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-3902
Country : US
Telephone Number : 216-577-0191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ DR. BRUCE MENAPACE PHD” Practice Location

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