Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE PATTON MINDRUP, PH.D.
Active Sole ProprietorDR. BRUCE PATTON MINDRUP, PH.D. is a Mental Health Counselor healthcare provider located in JERSEYVILLE, Illinois. NPI 1811917875 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · JERSEYVILLE, IL
Registration Details
- NPI Number
- 1811917875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (20.042079697762 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 GOODRICH STJERSEYVILLE, IL, 620522212Browse IL providers · Browse ZIP 62052
- Phone
- 6184984911
- Fax
- 6184984921
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in JERSEYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| LOIS HARMON | LCPC | 1861895377 |
| LEAH SANDERS | — | 1538562962 |
| JACQUELINE DAVIS | — | 1033512405 |
| MARIA JORDAN | — | 1609279892 |
| SHAWTIKA GARDNER | — | 1528461712 |
| NEIL DANIELS | — | 1740683853 |
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.