Provider Demographics
NPI:1760411177
Name:SINGER, BRUCE ELIOT (MA)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:ELIOT
Last Name:SINGER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:B.
Other - Middle Name:ELIOT
Other - Last Name:SINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:40 MAPLEVALE DR
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2757
Mailing Address - Country:US
Mailing Address - Phone:434-589-5651
Mailing Address - Fax:
Practice Address - Street 1:1110 ROSE HILL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-5159
Practice Address - Country:US
Practice Address - Phone:434-906-0830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003985101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional