Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE BLACK, PSYCH TECH
Active Sole ProprietorMR. BRUCE BLACK, PSYCH TECH is a Licensed Genetic Counselor healthcare provider located in SANTA ROSA, California. NPI 1285185819 is currently active in the NPPES registry. Verify at CMS.
Licensed Genetic Counselor · SANTA ROSA, CA
Registration Details
- NPI Number
- 1285185819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2016 (9.8654263270341 yrs)
- Last Updated
- Oct 19, 2016
- License
-
PT 31504 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2225 CHALLENGER WAYSANTA ROSA, CA, 95407Browse CA providers · Browse ZIP 95407
- Phone
- 7075768181
- Primary Specialty
-
Licensed Genetic Counselor
167G00000X
Other Licensed Genetic Counselor Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MICHELL L CHISHAM | — | 1760543011 |
| NANCY DUNLOP | — | 1801957196 |
| KAREN FRANCES BOWDEN | — | 1093876526 |
| HAILEYESUS GEBREHIWOT | — | 1780745521 |
| MARY HART | — | 1730241373 |
| MARYANN MCNAMARA | — | 1750443677 |
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.