Bryanna Bruger
Clinical Neuropsychologist in Milwaukee, WI. Individual provider (NPI-1).
NPI number1275940504
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1275940504
- Entity type
- Individual (NPI-1)
- Name
- Bryanna Bruger
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2014
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 5117-057 | WI | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
2901 W Kinnickinnic River Pkwy Ste 403Milwaukee, WI 53215-3660
Phone 414-385-8771
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
Other practice locations
108 W Market St
Bloomington, IL 61701-3918
Bloomington, IL 61701-3918
Phone 309-827-5351 · Fax 309-829-6808
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Saint Louis, MO 63104-1027
Phone 920-517-0278
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