Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE W. EBERT, PH.D., J.D., LL.M.
Active Sole ProprietorDR. BRUCE W. EBERT, PH.D., J.D., LL.M. is a Forensic Psychologist healthcare provider located in ROSEVILLE, California. NPI 1124243076 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · ROSEVILLE, CA
Registration Details
- NPI Number
- 1124243076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.355039583502 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY7461 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
775 SUNRISE AVESUITE 160ROSEVILLE, CA, 956614523Browse CA providers · Browse ZIP 95661
- Phone
- 9167817875
- Fax
- 9167812632
- Primary Specialty
-
Forensic Psychologist
103TF0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.