Individual
DR. TIMOTHY BRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 CANYON BLVD STE 200, BOULDER, CO 80302-4954
(720) 744-0577
Mailing address
255 CANYON BLVD STE 200, BOULDER, CO 80302-4954
(720) 744-0577
(720) 638-3699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
5524
CO
Other
Enumeration date
06/20/2016
Last updated
01/31/2022
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