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Individual

DR. CLAUDE BRUNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01668
MO
103T00000X
Psychologist
0862
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100241330B
KS
01
25067028
BLUE CROSS BLUE SHIELD KC
Enumeration date
09/21/2006
Last updated
02/26/2014
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