Provider Demographics
NPI:1447301031
Name:BRUGMAN AND BENDER PC
Entity type:Organization
Organization Name:BRUGMAN AND BENDER PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:978-979-8337
Mailing Address - Street 1:168 KILLAM HILL RD
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-1723
Mailing Address - Country:US
Mailing Address - Phone:978-979-8337
Mailing Address - Fax:978-887-6470
Practice Address - Street 1:168 KILLAM HILL RD
Practice Address - Street 2:
Practice Address - City:BOXFORD
Practice Address - State:MA
Practice Address - Zip Code:01921-1723
Practice Address - Country:US
Practice Address - Phone:978-979-8337
Practice Address - Fax:978-887-6470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty