Provider Demographics
NPI:1417317686
Name:NZE, BRUNO (MSCP)
Entity Type:Individual
Prefix:
First Name:BRUNO
Middle Name:
Last Name:NZE
Suffix:
Gender:M
Credentials:MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10354 CARROLLWOOD LANE APT. 197
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618
Mailing Address - Country:US
Mailing Address - Phone:863-458-1510
Mailing Address - Fax:
Practice Address - Street 1:10354 CARROLLWOOD LN APT 197
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4721
Practice Address - Country:US
Practice Address - Phone:863-458-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor