Individual
DR. RICHARD W. BRUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6600 SANGER AVE STE 28, WACO, TX 76710-7805
(254) 772-2043
(254) 772-4671
Mailing address
6600 SANGER AVE STE 28, WACO, TX 76710-7805
(254) 772-2043
(254) 772-4671
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113704403
—
TX
Enumeration date
01/09/2007
Last updated
06/17/2024
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