MEDICARE: BRUCE V. FIGUERED,PH.D. A PROFESSIONALPSYCHOLOGY CORPORATION

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
1	103T00000X	Psychologist	PSY18899	CA

General Provider Information

NPI Number	:	1780695890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE V. FIGUERED,PH.D. A PROFESSIONALPSYCHOLOGY CORPORATION

Provider Business Mailing Address
First Line	:	9777 VALLEY RANCH RD
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92021-2347
Country	:	US
Telephone Number	:	866-284-2771
Fax Number	:	800-334-1041

Provider Business Practice Location Address
First Line	:	14750 EL CAMINO REAL
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-4204
Country	:	US
Telephone Number	:	858-724-2134
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRUCE V FIGUERED
Credential	:	PH.D.
Telephone Number	:	858-724-2134

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	06/26/2014

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