Provider Demographics
NPI:1538114665
Name:NAYLOR, BRUCE ARTHUR (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ARTHUR
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 OLD DUTCH WAY
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-3077
Mailing Address - Country:US
Mailing Address - Phone:215-412-9465
Mailing Address - Fax:
Practice Address - Street 1:5 OLD DUTCH WAY
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-3077
Practice Address - Country:US
Practice Address - Phone:215-412-9465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS03820-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist