Provider Demographics
NPI:1316083983
Name:TURNQUIST, BRUCE ERIC (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ERIC
Last Name:TURNQUIST
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 PENINSULA FARM RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1018
Mailing Address - Country:US
Mailing Address - Phone:410-975-0105
Mailing Address - Fax:410-975-0108
Practice Address - Street 1:277 PENINSULA FARM RD
Practice Address - Street 2:SUITE J
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1018
Practice Address - Country:US
Practice Address - Phone:410-975-0105
Practice Address - Fax:410-975-0108
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02922103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist