Bruce Fink de Beaufort, PH.D
Individual provider Active NPI Psychoanalyst · McKees, PA
NPI 1699394239 · NPPES record last updated Apr 14, 2020
Key facts
- NPI
- 1699394239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychoanalyst 102L00000X
- License
- RP53 (CA)
- Practice address
- 350 Cobblestone Circle
McKees, PA 15136-1000 - Phone
- (412) 859-3997
- NPI assigned
- Apr 14, 2020
- 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 |
|---|---|---|---|
| RP53 | CA | MD | Psychoanalyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | RP53 | CA | Yes |
Addresses
Primary practice location
350 Cobblestone Circle
McKees, PA 15136-1000
Mailing address
350 Cobblestone Circle
McKees, PA 15136-1000
Phone (412) 859-3997
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP53 | Other | CA | RESEARCH PSYCHOANALYST |
Other names
- Dr. Bruce Fink
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2020. 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.