Provider Demographics
NPI:1780695890
Name:BRUCE V. FIGUERED,PH.D. A PROFESSIONALPSYCHOLOGY CORPORATION
Entity type:Organization
Organization Name:BRUCE V. FIGUERED,PH.D. A PROFESSIONALPSYCHOLOGY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:V
Authorized Official - Last Name:FIGUERED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-724-2134
Mailing Address - Street 1:9777 VALLEY RANCH RD
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-2347
Mailing Address - Country:US
Mailing Address - Phone:866-284-2771
Mailing Address - Fax:800-334-1041
Practice Address - Street 1:14750 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-4204
Practice Address - Country:US
Practice Address - Phone:858-724-2134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18899103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty