Bruce David Forman in Weston - Psychologist
Bruce David Forman - NPI 1417961681
Bruce David Forman is a Psychologist in Weston, Florida. Bruce David Forman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bruce David Forman is 1417961681. The last update date is 2014-06-10.
Bruce David Forman's current location address is 1655 N Commerce Pkwy, Weston, Florida. You can contact this provider via phone number 9543842154 and fax number 9543847716. The mailing address for Bruce David Forman is 1655 N Commerce Pkwy, Weston, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce David Forman |
|---|---|
| Address | 1655 N Commerce Pkwy, Weston, Florida |
| Phone Number | 9543842154 |
| Fax Number | 9543847716 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1417961681 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2014-06-10 |
Provider Mailing Address Detail
| Address | 1655 N Commerce Pkwy |
|---|---|
| City | Weston |
| State | Florida (FL) |
| Post Code | 333263276 |
| Phone Number | 9543842154 |
| Fax Number | 9543847716 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY 3471 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59-2834938 | FTIN |
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What is the unique 10-digit identification code assigned to Bruce David Forman by the Centers for Medicare & Medicaid Services?
The Bruce David Forman has been issued the NPI (National Provider Identifier) 1417961681, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bruce David Forman located?
The Bruce David Forman is located at 1655 N Commerce Pkwy, Weston, FL 333263276.
What is Bruce David Forman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce David Forman is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Bruce David Forman receive its 1417961681 assignment from the Centers for Medicare & Medicaid Services?
The Bruce David Forman was assigned its 1417961681 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the Bruce David Forman's details last updated?
The information pertaining to the Bruce David Forman, including its address, specialty, and other details, was most recently updated on 2014-06-10.
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