Mark R Bruguera, PHD

NPI #1740253244 in San Jose, California

Provider Information

NPI Number: 1740253244
Entity Type: Individual
Name: Mark R Bruguera, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Forensic
Credential: PHD
Enumeration Date: Feb 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 751 S BASCOM AVE
Address 2: MAIN JAIL-PSYCHOLOGY
City: San Jose
State: California
ZIP Code: 95128-2604
Phone: (408) 808-5212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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