Individual
DR. BENEDETTO GIUSEPPE FORREST BRUNETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
451 RIVERVIEW PKWY, SANTEE, CA 92071-5829
(619) 258-3089
(619) 258-3203
Mailing address
1664 BROADWAY, EL CAJON, CA 92021-5201
(619) 579-8685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30812
CA
Other
Enumeration date
08/23/2012
Last updated
07/12/2019
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