Search › Virginia › 101YP2500X
Bruce Wyman, LPC, EDM, NCC
NPI 1821109331 · on the registry since 2006 · sole proprietor
Practice
- Address
- 10391 Greyson Ln
Rixeyville, VA 22737 - Phone
- (540) 937-4923
- Fax
- (540) 937-7680
- Organisation at this address
- Evergreen Behavioral Health Services,Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
106H00000X
101YS0200X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia