Judith Brunow's National Provider Identifier (NPI) Details
Judith Brunow, LMHC, MS
NPI: 1730111899
Enumeration Date: 2006-07-07
Last updated: 2021-03-18
Sole Proprietor: NO
Status: active
Postal Address: 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN
Phone: 260-266-6013
Primary Practice Address: 909 E STATE BLVD, FORT WAYNE, IN
Practice's phone: 260-481-2700