Jack Floyd Brunner PH.D.

NPI 1649316050 - Psychologist - 103T00000X

NPI Details
NPI 1649316050
Gender Male
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
30400 DETROIT RD
SUITE 211
WESTLAKE OH, 44145-1872, US
Phone (440) 617-9222
Fax (440) 617-9222
Business Location
30400 DETROIT RD
SUITE 211
WESTLAKE OH, 44145-1872, US
Phone (440) 617-9222
Fax (440) 617-9222
Toxanomy
Taxonomy Code 103T00000X
License State Ohio
License Number 4600
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According to our database, Dr. Jack Floyd Brunner PH.D. NPI is 1649316050, taxonomy code is 103T00000X and license number is 4600, license state is located at Ohio. Jack Floyd Brunner PH.D. physically located at 30400 Detroit Rd, Westlake OH, 44145-1872. NPI Number Jack Floyd Brunner PH.D. has the Individual type.

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1649316050 NPI number is provided on an as is basis without warranty of any kind. 1649316050 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Floyd Brunner PH.D. are for informational purposes only.