MR. BRUCE RAY ANDERSON


Address: 415 S West St, Suite 150, Royal Oak, MI 48067-2521
Phone: 2485466432

MR. BRUCE RAY ANDERSON (NPI# 1447564745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447564745
Entity Type Individual
Full Name MR. BRUCE RAY ANDERSON
Credential LLP
Practice Address 415 S West St
Suite 150
Royal Oak
MI 48067-2521
Practice Telephone 2485466432
Mailing Telephone 2485466432
Enumeration Date 2010-07-29
Last Update Date 2010-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301006766 MI Behavioral Health & Social Service Providers

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1497783955 Bruce John Anderson Family Medicine 2724 Isle Royale Ct, Burnsville, MN 55337-3424 2006-06-30
1083611743 Bruce Robin Anderson Chiropractor 508 E 32nd St, Joplin, MO 64804-3902 2005-07-07
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Office Location

Street Address 415 S WEST ST
SUITE 150
City ROYAL OAK
State MI
Zip Code 48067-2521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184602468 Dennis Stephen Pilon Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2006-01-06
1356705834 Patricia L Vulpe, LLC Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2016-04-11
1932450566 Associates In Clinical Social Work Plc Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2012-09-22
1780944967 Goedert Therapeutic Services, LLC Community/Behavioral Health 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2012-05-22
1861765489 Dennis S Pilon, Acsw, PC Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2012-02-13
1396022174 Elizabeth Herring Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2011-11-08
1285920181 Mead Goedert Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2011-06-20
1053621029 Counseling Solutions, LLC Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2010-10-08
1013151398 Karen Tyner Rouff Social Worker 415 S West St, #150, Royal Oak, MI 48067-2521 2009-04-30
1831352392 Victoria Theresa Tylenda-wong Social Worker 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2008-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922609072 George Edward Khamis Psychologist 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 2020-11-05
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1750917811 Sonia B Shah-gonzalez Case Management 830 E Fourth St, #1, Royal Oak, MI 48067 2020-03-19
1568022960 Woodo Pharmacy LLC Pharmacy 909 E 11 Mile Rd, Royal Oak, MI 48067 2019-06-18
1093217564 Sharon Diane Malinowski Occupational Therapist 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 2018-03-01
1962916569 Nuch of Michigan Inc Clinic/Center 2140 E 12 Mile Rd, Royal Oak, MI 48067 2017-11-20
1629420179 Christine Paige Homeopath 1112 Catalpa, Royal Oak, MI 48067 2016-07-08
1104277045 Rppc Labs, LLC Clinical Medical Laboratory 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 2016-06-22
1346606423 Thomas Michalos Counselor 402 S. Lafayette, Royal Oak, MI 48067 2016-01-05
1508234212 Valetta Aldridge Registered Nurse 28000 Woodward, Royal Oak, MI 48067 2015-09-11
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013527134 Lindsey L Bupp Psychologist 3007 N Altadena Ave, Royal Oak, MI 48073-3555 2020-08-04
1144711102 Stephen Roger Fleck Psychologist 221 Forest Ave, Royal Oak, MI 48067-1876 2018-05-25
1407145030 Andrea Nicole Morrison Psychologist 221 S Main St Ste 201, Royal Oak, MI 48067-2653 2011-04-05
1699076950 Carole E. West Psychologist 603 N Gainsborough Ave, Royal Oak, MI 48067-1938 2010-11-03
1558675355 Debra Ann Harmon Psychologist 1812 Harwood Ave, Royal Oak, MI 48067-4064 2010-08-04
1740411297 Christine Catherine Elwart Psychologist 2007 Roseland Ave, Royal Oak, MI 48073-5014 2009-07-31
1578738431 Judy Leigh Atkins Psychologist 26862 Woodward Ave, Suite 102, Royal Oak, MI 48067-0957 2008-04-22
1518089705 Janice Gail Tomakowsky Psychologist 333 W 7th St, Suite 220, Royal Oak, MI 48067-2513 2007-04-06
1700900529 Joe Bavonese Psychologist 27172 Woodward, Suite 200, Royal Oak, MI 48067-0965 2007-03-19
1093821597 Daniel Charles Stettner Lp Psychologist 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 2006-08-21
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Competitor

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City ROYAL OAK
Zip Code 48067

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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