NPI 1174809511

Elizabeth G Bruning PHD PLLC

Organisation Psychologist Traverse City, MI

Practice location

Address: 818 Red Dr Suite 260, Traverse City, MI 49684-4720
Phone: (231) 935-0790
Fax: (231) 935-0791
Mailing address: 818 Red Drive Suite 260, Traverse City, MI 49684

Authorised official

Name: Elizabeth G Bruning
Title: Psychologist
Phone: (231) 935-0790

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 6301008608 (MI)

Other Psychologist providers in Michigan →

Registry record

NPI: 1174809511
Entity type: Organization
NPI issued: 31 Oct 2011
Record last updated: 31 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.