| Brunetti Consulting, Inc | |
|
21308 John Milless Dr Suite 101b Rogers MN 55374-4708 | |
| (763) 428-4060 | |
| (763) 428-1711 |
| Full Name | Brunetti Consulting, Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 21308 John Milless Dr, Rogers, Minnesota |
| Authorized Official Name and Position | Cheri L Brunetti (OWNER) |
| Authorized Official Contact | 7634284060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunetti Consulting, Inc 21308 John Milless Dr Suite 101b Rogers MN 55374-4708 Ph: (763) 428-4060 | Brunetti Consulting, Inc 21308 John Milless Dr Suite 101b Rogers MN 55374-4708 Ph: (763) 428-4060 |
| NPI Number | 1982719118 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 06/29/2009 |
| Medicare PECOS PAC ID | 8224048772 |
|---|---|
| Medicare Enrollment ID | O20060427000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982719118 | NPI | - | NPPES |
| 6120399 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 138221 | Other | MN | BHP |
| 88G92BR | Other | MN | BLUE CROSS |
| 719220700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | LP4169 (Minnesota) | Primary |
| 103TC0700X | Psychologist - Clinical | LP4169 (Minnesota) | Secondary |
| Provider Name | Cheri L Brunetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457316812 PECOS PAC ID: 7113915182 Enrollment ID: I20040506000437 |
| Provider Name | David G Brunetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447584735 PECOS PAC ID: 7214947761 Enrollment ID: I20091217000660 |
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