| Doctor Name: | LYNN A BRUNER |
| NPI Number: | 1437142015 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D |
| License Number: | PS01528 |
| Business Practice Address: | 315 N Grove St Lock Haven, PA - 177451307 |
| Business Phone Number: | 5707481850 |
| Business Fax Number: | |
| Mailing Address: | 315 N Grove St, LOCK HAVEN |
| State: | PA |
| Postal Code: | 177451307 |
| Phone Number: | 5707481850 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS01528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |