Organization
JUDY A. BRUCKNER, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY BRUCKNER PH.D. (PRESIDENT)
(706) 316-9095
Entity
Organization
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 2000B, WATKINSVILLE, GA 30677-7252
(706) 316-9095
(706) 353-8948
Mailing address
1551 JENNINGS MILL RD UNIT 2000B, WATKINSVILLE, GA 30677-7252
(706) 316-9095
(706) 353-8948
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002174
GA
Other
Enumeration date
03/16/2007
Last updated
01/24/2023
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