Individual
DR. STEPHANIE BRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
821 RAYMOND AVE # 130C, SAINT PAUL, MN 55114-1503
(612) 440-6545
Mailing address
821 RAYMOND AVE # 130C, SAINT PAUL, MN 55114-1503
(612) 440-6545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP5821
MN
103TF0200X
Forensic Psychologist
Primary
LP5821
MN
Other
Enumeration date
06/26/2017
Last updated
02/16/2018
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