Organization
BRUNETTI CONSULTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERI L BRUNETTI PH.D. (OWNER)
(763) 428-4060
Entity
Organization
Contact information
Practice address
21308 JOHN MILLESS DR, SUITE 101B, ROGERS, MN 55374-4708
(763) 428-4060
(763) 428-1711
Mailing address
21308 JOHN MILLESS DR, SUITE 101B, ROGERS, MN 55374-4708
(763) 428-4060
(763) 428-1711
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP4169
MN
103TC0700X
Clinical Psychologist
LP4169
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138221
BHP
MN
01
—
6120399
UNITED BEHAVIORAL HEALTH
MN
05
—
719220700
—
MN
01
—
88G92BR
BLUE CROSS
MN
Enumeration date
08/20/2006
Last updated
06/29/2009
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