Individual
DR. TROY LAWN BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
850 MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Mailing address
322 W NORTH RIVER DR, RIVERFRONT MEDICAL CENTER, SPOKANE, WA 99201
(509) 324-6464
(509) 241-2056
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60115733
WA
103TC0700X
Clinical Psychologist
PSY-202879
ID
103TC0700X
Clinical Psychologist
PY60115733
WA
Other
Enumeration date
03/04/2008
Last updated
06/11/2018
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