Individual
BRAD MICHAEL BRUNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
209 EAST WASHINGTON STREET, SUITE 202, IOWA CITY, IA 52240-3928
(319) 354-3232
(319) 354-2990
Mailing address
209 EAST WASHINGTON STREET, SUITE 202, IOWA CITY, IA 52240-3928
(319) 354-3232
(319) 354-2990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001029
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000496
HSP
IA
Enumeration date
08/24/2007
Last updated
08/24/2007
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