Terrill Lewis Bruett ED.D.

NPI 1922194737 - Psychologist - 103T00000X

NPI Details
NPI 1922194737
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2717 GRANDVIEW BLVD SUITE 303
WAUKESHA WI, 53188, US
Phone (262) 544-6486
Fax (262) 544-6377
Business Location
405 OAKWOOD DR
THIENSVILLE WI, 53092-1327, US
Phone (262) 242-9405
Fax (262) 544-6377
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 480-057
Remove 1922194737 NPI Number
 

According to our database, Terrill Lewis Bruett ED.D. NPI is 1922194737, taxonomy code is 103T00000X and license number is 480-057, license state is located at Wisconsin. Terrill Lewis Bruett ED.D. physically located at 2717 Grandview Blvd Suite 303, Waukesha WI, 53188. NPI Number Terrill Lewis Bruett ED.D. has the Individual type.

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1922194737 NPI number is provided on an as is basis without warranty of any kind. 1922194737 is maintained by the National Plan & Provider Enumeration System. The contents of Terrill Lewis Bruett ED.D. are for informational purposes only.