| Elizabeth G Bruning Phd Pllc | |
|
818 Red Dr Suite 260 Traverse City MI 49684-4720 | |
| (231) 935-0790 | |
| (231) 935-0791 |
| Full Name | Elizabeth G Bruning Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 818 Red Dr, Traverse City, Michigan |
| Authorized Official Name and Position | Elizabeth G Bruning (PSYCHOLOGIST) |
| Authorized Official Contact | 2319350790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth G Bruning Phd Pllc 818 Red Drive Suite 260 Traverse City MI 49684 Ph: (231) 935-0790 | Elizabeth G Bruning Phd Pllc 818 Red Dr Suite 260 Traverse City MI 49684-4720 Ph: (231) 935-0790 |
| NPI Number | 1174809511 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174809511 | NPI | - | NPPES |
| OM21750 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301008608 (Michigan) | Primary |
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