Individual
DR. MICHAEL DOUGLAS BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5691 S REDWOOD RD UNIT 15, TAYLORSVILLE, UT 84123-5485
(801) 971-0565
(801) 281-4083
Mailing address
5691 S REDWOOD RD UNIT 15, TAYLORSVILLE, UT 84123-5485
(801) 971-0565
(801) 281-4083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
326545-2501
UT
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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