Individual
BRYANNA BRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 403, MILWAUKEE, WI 53215-3660
(414) 385-8771
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
5117-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263320
—
WI
Enumeration date
07/18/2014
Last updated
02/22/2024
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