Provider Demographics
NPI:1982811311
Name:BRUCE, PATRICIA G (TEACHER OF THE DEAF)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:G
Last Name:BRUCE
Suffix:
Gender:F
Credentials:TEACHER OF THE DEAF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-1015
Mailing Address - Country:US
Mailing Address - Phone:859-236-8769
Mailing Address - Fax:
Practice Address - Street 1:1105 ELM ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1015
Practice Address - Country:US
Practice Address - Phone:859-236-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist