Alice Ida Brunner is a Clinical in Ann Arbor, Michigan. Alice Ida Brunner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alice Ida Brunner is 1548479660. The last update date is 2007-07-08.
Alice Ida Brunner's current location address is 1314 Granger Ave, Ann Arbor, Michigan. You can contact this provider via phone number 7349940025. The mailing address for Alice Ida Brunner is 1314 Granger Ave, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Ida Brunner |
|---|---|
| Address | 1314 Granger Ave, Ann Arbor, Michigan |
| Phone Number | 7349940025 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1548479660 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1314 Granger Ave |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481044423 |
| Phone Number | 7349940025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301003282 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Alice Ida Brunner by the Centers for Medicare & Medicaid Services?
The Alice Ida Brunner has been assigned the NPI (National Provider Identifier) 1548479660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Alice Ida Brunner's physical address?
The Alice Ida Brunner is physically located at 1314 Granger Ave, in the city of Ann Arbor, MI, with the postal code 481044423.
What is Alice Ida Brunner's area of expertise and its corresponding taxonomy classification?
The Alice Ida Brunner's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Alice Ida Brunner receive its 1548479660 assignment from the Centers for Medicare & Medicaid Services?
The Alice Ida Brunner was assigned its 1548479660 by the Centers for Medicare & Medicaid Services on 2007-05-22.
As of what date were the details pertaining to Alice Ida Brunner last refreshed?
The information related to the Alice Ida Brunner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
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