Individual
DR. VIRDETTE L BRUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
787 MUNRAS AVE, SUITE 101, MONTEREY, CA 93940-3128
(831) 642-9400
(831) 645-7906
Mailing address
PO BOX 3534, CARMEL, CA 93921-3534
(831) 642-9400
(831) 645-7906
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY15531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY155310
—
CA
Enumeration date
09/30/2006
Last updated
07/27/2009
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