Bruckner, Judy

Bruckner, Judy is an individual health care provider with primary practice located at 1551 Jennings Mill Rd Unit 2000B , Watkinsville GA 30677-7252. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bruckner, Judy can be contacted via phone (706) 316-9095.

Contact Information

Primary practice address
1551 Jennings Mill Rd Unit 2000B Watkinsville GA 30677-7252
Phone: (706) 316-9095
Fax: (706) 353-8948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2174 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2174 Georgia

Profile Details

NPI number 1104924620
LBN Legal business name Bruckner, Judy
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104924620 NPPES
Georgia Other 582430452 BLUE CROSS BLUE SHIELD GA

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