Organization
BRUGMAN BEHAVIORAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN D BRUGMAN PSY.D. (CLINICAL PSYCHOLOGIST/OWNER)
(704) 869-8878
Entity
Organization
Contact information
Practice address
2907 ROUSSEAU CT, GASTONIA, NC 28054-2103
(704) 869-8878
(704) 869-8879
Mailing address
2907 ROUSSEAU CT, GASTONIA, NC 28054-2103
(704) 869-8878
(704) 869-8879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008191
—
NC
Enumeration date
03/01/2012
Last updated
03/01/2012
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