Doctor Name: | DR. DIANNA BRUNO |
NPI Number: | 1073554556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD, LMHC |
License Number: | 017707-1 |
Business Practice Address: | 419 Walnut Ave Niagara Falls, NY - 143011725 |
Business Phone Number: | 7162851904 |
Business Fax Number: | 7162848262 |
Mailing Address: | 7628 Sunnydale Dr, NIAGARA FALLS |
State: | NY |
Postal Code: | 143041381 |
Phone Number: | 7168702734 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 017707-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |