Individual provider · Type 1 NPI

Judy Bruckner, PhD

Psychologist · Watkinsville, GA

NPI number 1104924620 Active

Practice location

1551 Jennings Mill Rd Unit 2000B
Watkinsville, GA 30677-7252

Fax (706) 353-8948

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900X2174 (GA)
Psychologist Primary 103T00000X2174 (GA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104924620

Judy Bruckner, PhD's National Provider Identifier is 1104924620, issued on Sep 20, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Watkinsville, GA. The record was last updated on Jan 17, 2023.