DR. BRUCE HOLDER PH.D. NPI 1639701279

NPI Information

  • NPI: 1639701279
  • Provider Name: DR. BRUCE HOLDER, PH.D.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 525 S MAIN ST
    UPLAND, IN
    ZIP 46989
  • Phone: (765) 298-9315

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NPI Details

DR. Bruce Holder, PH.D. is a mental health counselor in Upland, IN with 19 years of experience. DR. Bruce Holder, PH.D. NPI is 1639701279. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

525 S MAIN ST
UPLAND, IN
ZIP 46989-101
Phone: (765) 298-9315

The NPI 1639701279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/11/2020 and was last updated on 2/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health39000465AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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