Provider Demographics
NPI:1992791107
Name:PILE, BRUCE WILLIAM (MS)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:WILLIAM
Last Name:PILE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 W UNION ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1539
Mailing Address - Country:US
Mailing Address - Phone:814-443-1881
Mailing Address - Fax:814-443-1881
Practice Address - Street 1:238 W UNION ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1539
Practice Address - Country:US
Practice Address - Phone:814-443-1881
Practice Address - Fax:814-443-1881
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
PAPC-002146101YP2500X
101YS0200X
00182103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling