Individual
CHERI L BRUNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
21308 JOHN MILLESS DR, SUITE 101B, ROGERS, MN 55374-4708
(763) 428-4060
(763) 428-1711
Mailing address
21308 JOHN MILLESS DR, SUITE 101B, ROGERS, MN 55374-4708
(763) 428-4060
(763) 428-1711
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP4169
MN
103T00000X
Psychologist
LP4169
MN
103TC0700X
Clinical Psychologist
LP4169
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719220700
—
MN
Enumeration date
04/19/2006
Last updated
06/29/2009
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