Dr. Nicole Bosustow Brule, Psy.D.
Psychologist in Eugene, OR. Individual provider (NPI-1).
NPI number1992857486
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1992857486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Bosustow Brule
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2007
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1832 | OR | Yes |
Practice location
220 E 11th Ave Ste 3Eugene, OR 97401-3370
Phone 541-953-3929
Mailing address
220 E 11th Ave Ste 3Eugene, OR 97401-3370
Phone 541-953-3929
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