NPI 1588954200

Jared Bruce, PHD

Practitioner Clinical Neuropsychologist Overland Park, KS

Practice location

Address: 10555 Marty St STE 100, Overland Park, KS 66212-2555
Phone: (913) 649-8823
Mailing address: 2107 W 78th St, Prairie Village, KS 66208-3812

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1951 (KS)

Other Clinical Neuropsychologist providers in Kansas →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2008007983 (MO)

Registry record

NPI: 1588954200
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2011
Record last updated: 14 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.