| Elaine J Bruckner, PHD | |
|
970 W Wooster St, Suite 124, Bowling Green, OH 43402-2643 | |
| (419) 352-6666 | |
| (419) 353-1117 |
| Full Name | Elaine J Bruckner |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 31 Years |
| Location | 970 W Wooster St, Bowling Green, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063596567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5040 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anxiety Treatment Center Of Greater Toledo Llc | 6507198199 | 7 |
| Entity Name | Anxiety Treatment Center Of Greater Toledo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710539580 PECOS PAC ID: 6507198199 Enrollment ID: O20191031001842 |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine J Bruckner, PHD 970 W Wooster St, Suite 124, Bowling Green, OH 43402-2643 Ph: (419) 352-6666 | Elaine J Bruckner, PHD 970 W Wooster St, Suite 124, Bowling Green, OH 43402-2643 Ph: (419) 352-6666 |
William Hayes Obrien, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: Of Psychology, Bowling Green State University, Bowling Green, OH 43403 Phone: 419-372-2973 | |
Dr. Robert A Carels, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 822 East Merry Street Psychological Services Center, 300 Psychology Building, Bowling Green State University, Bowling Green, OH 43403 Phone: 419-372-2540 Fax: 419-372-2533 | |
Emily Ann Padgett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588 | |
Noelle C Duvall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588 Fax: 419-354-4977 | |
Wayne David Morse, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 441 Frazee Ave Ste A, Bowling Green, OH 43402 Phone: 419-575-7910 Fax: 419-386-0951 | |
Dr. Dryw O Dworsky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Psychological Services Center, 300 Psychology Building, Bgsu, Bowling Green, OH 43403 Phone: 419-372-2540 Fax: 419-372-2533 |