Provider Demographics
NPI:1467623157
Name:SINGER, BRUCE FRANKLIN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:FRANKLIN
Last Name:SINGER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FORTY ACRE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3353
Mailing Address - Country:US
Mailing Address - Phone:707-304-4368
Mailing Address - Fax:
Practice Address - Street 1:100 FORTY ACRE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-3353
Practice Address - Country:US
Practice Address - Phone:707-304-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3151103TA0400X
CT003151261QP3300X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain