Individual
GINA BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1122 KENILWORTH DR STE 105, BALTIMORE, MD 21204-2141
(443) 841-7785
Mailing address
1122 KENILWORTH DR STE 105, BALTIMORE, MD 21204-2141
(443) 841-7785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05189
MD
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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