Individual
DR. BRANDON COY BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
514 N MAIN ST, RURAL RETREAT, VA 24368-3123
(888) 365-6271
Mailing address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004813
VA
103TC0700X
Clinical Psychologist
3789
TN
Other
Enumeration date
09/01/2010
Last updated
05/11/2026
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