Individual
BARBARA A BRUCKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2104 W MICHIGAN AVE, MIDLAND, TX 79701-5928
(432) 570-9552
(432) 570-9859
Mailing address
2104 W MICHIGAN AVE, MIDLAND, TX 79701-5928
(432) 570-9552
(432) 570-9859
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3-3031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000594E7
—
TX
Enumeration date
09/14/2006
Last updated
07/08/2007
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