| Doctor Name: | MRS. MELANIE BETH BRUNEAU |
| NPI Number: | 1538297098 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 112088 |
| Business Practice Address: | 206 Milford St Upton, MA - 015681309 |
| Business Phone Number: | 5086346420 |
| Business Fax Number: | |
| Mailing Address: | 98 School Street, P.o. Box 182 NORTHBRIDGE |
| State: | MA |
| Postal Code: | 015341232 |
| Phone Number: | 5082348501 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 112088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |