MEDICARE: CLAUDE BRUNELL, PSYD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	01668	MO

General Provider Information

NPI Number	:	1033218672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAUDE BRUNELL, PSYD PA

Provider Business Mailing Address
First Line	:	9221 WARD PKWY
Second Line	:	430
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3337
Country	:	US
Telephone Number	:	816-444-5511
Fax Number	:	816-822-8058

Provider Business Practice Location Address
First Line	:	9221 WARD PKWY
Second Line	:	430
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3337
Country	:	US
Telephone Number	:	816-444-5511
Fax Number	:	816-822-8058

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CLAUDE BRUNELL
Credential	:	PSYD
Telephone Number	:	816-444-5511

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/22/2020

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