Doctor Name: | KAY ELIZABETH BRUNER |
NPI Number: | 1023488277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 65892 |
Business Practice Address: | 610 Uptown Blvd 2nd Floor Cedar Hill, TX - 751043527 |
Business Phone Number: | 9728073540 |
Business Fax Number: | |
Mailing Address: | 318 Park Ln, DUNCANVILLE |
State: | TX |
Postal Code: | 751163109 |
Phone Number: | 9723520781 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 65892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |