Individual
JOHN PAUL BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4741 RANDOLPH RD STE 100, CHARLOTTE, NC 28211-2919
(704) 365-6730
(704) 365-6731
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 365-6730
(704) 365-6731
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4190
NC
103T00000X
Psychologist
B1-0000738
DE
Other
Enumeration date
02/01/2010
Last updated
10/18/2022
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