| Mary A Bruggeman, Ph.d. | |
|
912 Dodson Way Arroyo Grande CA 93420 | |
| (805) 481-8766 | |
| (805) 481-8756 |
| Full Name | Mary A Bruggeman, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 912 Dodson Way, Arroyo Grande, California |
| Authorized Official Name and Position | Mary Ann Bruggeman (CLINICAL PSYCHOLOGIST AND OWNER) |
| Authorized Official Contact | 8054818766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary A Bruggeman, Ph.d. 912 Dodson Way Arroyo Grande CA 93420 Ph: (805) 481-8766 | Mary A Bruggeman, Ph.d. 912 Dodson Way Arroyo Grande CA 93420 Ph: (805) 481-8766 |
| NPI Number | 1760592380 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760592380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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