BRUCE POULSEN, PHD
Psychologist - Clinical Child & Adolescent
Active
Individual
NPI: 1376669085
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical Child & Adolescent | 103TC2200X | Yes | 4849539-2501 (UT) |
Frequently Asked Questions
NPI 1376669085 is the National Provider Identifier for BRUCE POULSEN, PHD, a Psychologist - Clinical Child & Adolescent provider located in Taylorsville, UT. This NPI was enumerated on March 22, 2007.
BRUCE POULSEN, PHD practices at 5770 S 1500 W, Taylorsville, UT 84123.
Quick Facts
- NPI
- 1376669085
- Type
- Individual
- Enumerated
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
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