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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104924620 | NPPES |
Georgia | Other | 582430452 | BLUE CROSS BLUE SHIELD GA |
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