Individual
DR. HEIDI BRUNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1526 5TH AVE, SAN RAFAEL, CA 94901-1852
(415) 721-0902
(415) 721-2451
Mailing address
1526 5TH AVE, SAN RAFAEL, CA 94901-1852
(415) 721-0902
(415) 721-2451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19234
CA
Other
Enumeration date
06/09/2012
Last updated
02/11/2022
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