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Contact Information

BRUCE T BANFORD, PSYD PSYCHOLOGIST
31 TANNER STREET
HADDONFIELD, NJ08033
 Phone: 856-428-7646
 Fax: 856-216-1839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRUCE T BANFORD · (Male)

NPI # 1528157377
Status Active
Credentials PSYD PSYCHOLOGIST
Entity Individual
Enumeration date 10/12/2006
Last updated 08/26/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # NJ2478
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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