DR. BRUCE PATTON MINDRUP PH.D. NPI 1811917875

NPI Information

NPI: 1811917875
Provider Name: DR. BRUCE PATTON MINDRUP, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
106 GOODRICH ST
JERSEYVILLE, IL
ZIP 62052
Phone: (618) 498-4911
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DR. Bruce Patton Mindrup, PH.D. is a mental health counselor in Jerseyville, IL. DR. Bruce Patton Mindrup, PH.D. NPI is 1811917875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

106 GOODRICH ST
JERSEYVILLE, IL
ZIP 62052-212
Phone: (618) 498-4911
Fax: (618) 498-4921

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/8/2007.

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
1	101YM0800X	Counselor	Mental Health		ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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