Provider Demographics
NPI:1477712198
Name:BRUCE E. DENNINGS, PH.D.
Entity Type:Organization
Organization Name:BRUCE E. DENNINGS, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ELDON
Authorized Official - Last Name:DENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:228-875-8440
Mailing Address - Street 1:2112 BIENVILLE BLVD
Mailing Address - Street 2:SUITE O-1
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3052
Mailing Address - Country:US
Mailing Address - Phone:228-875-8440
Mailing Address - Fax:228-875-8443
Practice Address - Street 1:2112 BIENVILLE BLVD
Practice Address - Street 2:SUITE O-1
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3052
Practice Address - Country:US
Practice Address - Phone:228-875-8440
Practice Address - Fax:228-875-8443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS33-508103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty