Dr. Bruke Tadesse
Addiction Psychologist (Substance Use Disorder)
3415 Hamilton St Ste 9
Hyattsville
, Maryland 20782
Dr. Bruke Tadesse
Addiction Psychologist (Substance Use Disorder)
3415 Hamilton St Ste 9
Hyattsville
, Maryland 20782
(301) 779-6095
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Dr. Bruke Tadesse
- 3415 Hamilton St Ste 9
- Hyattsville, MD
- Zip : 20782-3953
- Fax : (301) 779-6095
- Phone : (301) 779-2461
Second Address
- Dr. Bruke Tadesse
- 3415 Hamilton St Ste 9
- Hyattsville, MD
- Zip : 20782
- Fax : (301) 779-6095
- Phone : (301) 779-2461
Reviews
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Is Dr. Bruke Tadesse a sole practitioner?
Is Dr. Bruke Tadesse accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | LC0295 | MD |
National Provider Identifier
| NPI | 1306861752 |
|---|---|
| Provider Name | Dr. Bruke Tadesse |
| First Address | Hyattsville, MD 20782-3953 |
| Second Address | Hyattsville, MD 20782 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 13/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1093750697 | (05) | MD |
| 1316126121 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.