IndividualActive
Ted Bruce, MSW LICSW
NPI 1043376734 · Counseling Psychologist · Glendale, WI
Provider details
- NPI number
- 1043376734
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- MSW LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 3906-123 (WI)
Practice location
6110 N Port Washington Rd
Glendale, WI 53217
Phone: (414) 332-7400
Fax: (414) 963-6866
Mailing address
6110 N Port Washington Rd
Glendale, WI 53217
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.