Provider Demographics
NPI:1689807729
Name:BRUCHER, MICHAEL V (CLINICIAN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:V
Last Name:BRUCHER
Suffix:
Gender:M
Credentials:CLINICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 TABLE MESA DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-5745
Mailing Address - Country:US
Mailing Address - Phone:303-494-1505
Mailing Address - Fax:
Practice Address - Street 1:9200 W CROSS DR STE 421
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-0760
Practice Address - Country:US
Practice Address - Phone:303-425-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health