Organization
BRUNN JOINT VENTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICEANNE BRUNN PH.D. (PARTNER/PSYCHOLOGIST)
(254) 772-2043
Entity
Organization
Contact information
Practice address
305 LONDONDERRY DR, STE 2, WACO, TX 76712-7929
(254) 772-2043
(254) 772-4671
Mailing address
305 LONDONDERRY DR, STE 2, WACO, TX 76712-7929
(254) 772-2043
(254) 772-4671
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21383
TX
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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