Brunn Joint Venture

NPI #1245412022 in Waco, Texas

Provider Information

NPI Number: 1245412022
Entity Type: Organization
Organization Name: Brunn Joint Venture
Primary Specialty: Psychologist
Enumeration Date: Dec 3, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 305 LONDONDERRY DR
Address 2: STE 2
City: Waco
State: Texas
ZIP Code: 76712-7929
Phone: (254) 772-2043

Authorized Official

Name: DR. ALICEANNE BRUNN, PH.D.
Title: PARTNER/PSYCHOLOGIST
Phone: (254) 772-2043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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