Individual
JESSICA ANN BRUNDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5000 W NATIONAL AVE, ZABLOCKI VAMC-SPINAL CORD INJURY-128, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5293
Mailing address
5000 W NATIONAL AVE, ZABLOCKI VAMC-SPINAL CORD INJURY SERVICE-128, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
01/07/2013
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