Bruce Jules Abel, PH.D
Individual provider Active NPI Clinical Psychologist · Plano, TX
NPI 1295742443 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295742443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2-2621 (TX)
- Practice address
- 1721 W Plano Pkwy
Suite 107
Plano, TX 75075-8634 - Phone
- (972) 578-0665
- Fax
- (972) 578-8397
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-2621 | TX | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-2621 | TX | Yes |
Addresses
Primary practice location
1721 W Plano Pkwy
Suite 107
Plano, TX 75075-8634
Mailing address
17134 Earthwind Dr
Dallas, TX 75248-1356
Phone (972) 578-0665
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.