AMY BRUYN LCPC NPI 1366930406

NPI Information

NPI: 1366930406
Provider Name: AMY BRUYN, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6392 LINDEN RD
ROCKFORD, IL
ZIP 61109
Phone: (779) 368-0060
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Amy Bruyn, LCPC is a professional counselor in Rockford, IL. Amy Bruyn, LCPC NPI is 1366930406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6392 LINDEN RD
ROCKFORD, IL
ZIP 61109-816
Phone: (779) 368-0060

The enumeration date for this NPI number is 4/24/2018 and was last updated on 4/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178-013197	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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