Provider Demographics
NPI:1013137389
Name:BRUHN, ARNOLD RAHN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:RAHN
Last Name:BRUHN
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 1:4704 HUNT AVE
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5423
Mailing Address - Country:US
Mailing Address - Phone:301-652-5168
Mailing Address - Fax:301-654-4072
Practice Address - Street 1:4400 E WEST HWY STE 28
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4501
Practice Address - Country:US
Practice Address - Phone:301-654-2017
Practice Address - Fax:301-654-4072
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1118103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD423111Medicare ID - Type UnspecifiedMEDICARE #