Woodward, Bruce
Woodward, Bruce is an sole proprietor health care provider with primary practice located at 175 Strafford Avenue Suite 1, Wayne PA 19087. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Woodward, Bruce can be contacted via phone (610) 688-1650.Contact Information
Primary practice address
175 Strafford Avenue Suite 1
Wayne PA 19087
Phone: (610) 688-1650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PS003235L | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS003235L | Pennsylvania |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS003235L | Pennsylvania |
Profile Details
| NPI number | 1871693390 |
|---|---|
| LBN Legal business name | Woodward, Bruce |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 14th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871693390 | NPPES |
| Pennsylvania | Other | 273480000 | KEYSTONE |
| Pennsylvania | Other | 2321316000 | KEYSTONE |
| Pennsylvania | Other | 7443321 | KEYSTONE |
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