Atkinson, Bruce E

Atkinson, Bruce E is an sole proprietor health care provider with primary practice located at 1830 Water Pl Se , Atlanta GA 30339-7407. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Atkinson, Bruce E can be contacted via phone (770) 439-9353.

Contact Information

Primary practice address
1830 Water Pl Se Atlanta GA 30339-7407
Phone: (770) 439-9353
Fax: (770) 439-7090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY001400 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY001400 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X PSY001400 Georgia
Behavioral Health & Social Service Providers / Pastoral 101YP1600X PSY001400 Georgia

Profile Details

NPI number 1336116375
LBN Legal business name Atkinson, Bruce E
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Aug 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336116375 NPPES
Georgia MEDICAID 00545069B
Georgia Other 40055

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