Individual
DR. BRADLEY W. GRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
720 WEST CHEYENNE AVENUE, SUITE 190, NORTH LAS VEGAS, NV 89030
(702) 408-6170
(702) 459-8378
Mailing address
720 WEST CHEYENNE AVENUE, SUITE 190, NORTH LAS VEGAS, NV 89030
(702) 408-6170
(702) 459-8378
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY0516
NV
103TB0200X
Cognitive & Behavioral Psychologist
PY0516
NV
103TC0700X
Clinical Psychologist
PY0516
NV
103TC1900X
Counseling Psychologist
Primary
PY0516
NV
103TC2200X
Clinical Child & Adolescent Psychologist
PY0516
NV
103TF0000X
Family Psychologist
PY0516
NV
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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