Search › Louisiana › 104100000X
Amanda Bruyninckx, LMSW
NPI 1164256962 · on the registry since 2024
Practice
- Address
- 53 Powell Rd
Otis, LA 71466 - Phone
- (318) 753-5069
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana