National Provider Identifier Database

JENNIFER R BRUNER, MA, ATR-BC, NCC – NPI #1598972051
Professional


Contact Information

JENNIFER R BRUNER, MA, ATR-BC, NCC
2510 S BRENTWOOD BLVD
SUITE 305
BRENTWOOD, MO63144-2328
Phone: 314-467-8023
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Art Therapist 221700000X

* Indicates primary specialty

NPI Profile & details for JENNIFER R BRUNER

NPI Number 1598972051
Credentials MA, ATR-BC, NCC
Entity Individual
Enumeration date 05/16/2007
Last updated 12/01/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 180-005288
  • MO License #: 2007014463
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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