Individual
DR. CONSTANCE ANN BRUNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4036 3RD AVE, SAN DIEGO, CA 92103-2102
(619) 296-8103
(619) 296-5027
Mailing address
4036 3RD AVE, SAN DIEGO, CA 92103-2102
(619) 296-8103
(619) 296-5027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11331265
CAQH ID
CA
Enumeration date
11/16/2006
Last updated
07/20/2007
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