Individual
HEATHER M BRUSCHWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-5314
(434) 924-0185
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810005214
VA
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
0810005788
VA
Other
Enumeration date
03/20/2013
Last updated
08/08/2023
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