Individual
AMANDA BRUNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 SHAWNEE MISSION PKWY STE 2180, FAIRWAY, KS 66205-2522
(913) 588-6973
Mailing address
6201 JOHNSON DR APT 506, MISSION, KS 66202-3483
(630) 301-8901
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
02892
KS
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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