IndividualActive
Bruce Wiley, M.D.
NPI 1790823185 · Psychiatry Physician · Lake Charles, LA
Provider details
- NPI number
- 1790823185
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10780R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4105 Kirkman St
Lake Charles, LA 70607-4603
Phone: (337) 475-8022
Approximate (ZIP-level) locationGet directions
Mailing address
278 Hampton Ct
Lake Charles, LA 70605-6586
Registry dates
- Enumerated
- 2007-02-01
- 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.