Brugman Behavioral Care, Pllc | |
2907 Rousseau Ct Gastonia NC 28054-2103 | |
(704) 869-8878 | |
(704) 869-8879 |
Full Name | Brugman Behavioral Care, Pllc |
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Speciality | Psychologist - Clinical |
Location | 2907 Rousseau Ct, Gastonia, North Carolina |
Authorized Official Name and Position | Joan D Brugman (CLINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 7048698878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brugman Behavioral Care, Pllc 2907 Rousseau Ct Gastonia NC 28054-2103 Ph: (704) 869-8878 | Brugman Behavioral Care, Pllc 2907 Rousseau Ct Gastonia NC 28054-2103 Ph: (704) 869-8878 |
NPI Number | 1275807786 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275807786 | NPI | - | NPPES |
6008191 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2300 (North Carolina) | Primary |
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