Individual
MICHAEL BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6535 SNIDER RD, LOVELAND, OH 45140
(513) 575-1444
(513) 575-1451
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(135) 761-0205
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.07751
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303509
—
OH
Enumeration date
07/22/2016
Last updated
09/10/2020
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