NPI 1376694711 · live from the CMS NPI Registry
Bruce Alan Abt, PhD
Psychologist, Clinical in Sunnyvale, CA. National Provider Identifier 1376694711, active.
NPI record
| NPI | 1376694711 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 877 W Fremont Ave Ste K5, Sunnyvale, CA 94087 |
| Practice phone | 408-736-1111 |
| Enumerated | January 14, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PSY 5191 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.