Individual
MS. STEPHANI LOUISE BRUYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1603 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55431-3065
(952) 767-3680
(952) 767-0018
Mailing address
18986 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 474-5974
(952) 474-3654
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3669
MN
Other
Enumeration date
07/25/2007
Last updated
02/04/2014
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