Provider Demographics
NPI:1134428949
Name:SABIAN, BRUCE ALAN (BRUCE SABIAN, MA)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:ALAN
Last Name:SABIAN
Suffix:
Gender:M
Credentials:BRUCE SABIAN, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 TECH CIR
Mailing Address - Street 2:P.O. BOX 2131
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1023
Mailing Address - Country:US
Mailing Address - Phone:508-655-9200
Mailing Address - Fax:508-651-2777
Practice Address - Street 1:9 TECH CIR
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1023
Practice Address - Country:US
Practice Address - Phone:508-655-9200
Practice Address - Fax:508-651-2777
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2024101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health