Forman, Bruce David

Forman, Bruce David is an sole proprietor health care provider with primary practice located at 1655 N Commerce Pkwy Suite 301, Weston FL 33326-3276. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Forman, Bruce David can be contacted via phone (954) 384-2154.

Contact Information

Primary practice address
1655 N Commerce Pkwy Suite 301 Weston FL 33326-3276
Phone: (954) 384-2154
Fax: (954) 384-7716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 3471 Florida

Profile Details

NPI number 1417961681
LBN Legal business name Forman, Bruce David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jun 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417961681 NPPES
Other 59-2834938 FTIN

Popular Providers