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Contact Information

BRUCE P JENNINGS, PH D
300 FOXCROFT AVE
SUITE 306
MARTINSBURG, WV25401
 Phone: 304-267-1663
 Fax: 304-267-1663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRUCE P JENNINGS · (Male)

NPI # 1366558777
Status Active
Credentials PH D
Entity Individual
Enumeration date 08/21/2006
Last updated 06/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 291
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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