Individual
BRUCE JUNGERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1895 ABBY RD, CUMBERLAND, WI 54829-8706
(715) 822-3800
Mailing address
1895 ABBY RD, CUMBERLAND, WI 54829-8706
(715) 822-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39099100
—
WI
Enumeration date
02/09/2007
Last updated
01/07/2013
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