Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUKE TADESSE
Active Sole ProprietorDR. BRUKE TADESSE is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in HYATTSVILLE, Maryland. NPI 1306861752 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · HYATTSVILLE, MD
Registration Details
- NPI Number
- 1306861752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.120895052957 yrs)
- Last Updated
- Apr 13, 2019
- License
-
LC0295 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3415 HAMILTON ST STE 9HYATTSVILLE, MD, 20782Browse MD providers · Browse ZIP 20782
- Phone
- 3017792461
- Fax
- 3017796095
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
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.