DR. LINDA PAK BRUNER (NPI# 1639264120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639264120 |
| Entity Type | Individual |
| Full Name | DR. LINDA PAK BRUNER |
| Other Name | DR. LINDA PAK |
| Credential | PH.D. |
| Practice Address |
1640 Powers Ferry Road Se, Building 9, Suite 100 The Anxiety & Stress Management Institute Marietta GA 30067-5491 |
| Mailing Address |
185 Bolling Road Linda Pak, LLC Atlanta GA 30305 |
| Practice Telephone | 7709530080 |
| Practice Fax Number | 7709530031 |
| Mailing Telephone | 4043860271 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
1640 POWERS FERRY ROAD SE, BUILDING 9, SUITE 100 THE ANXIETY & STRESS MANAGEMENT INSTITUTE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100024 | Life Skills Community Center Inc | Psychologist | 2440 Sandy Plains Rd Ste 300, Marietta, GA 30066-7217 | 2020-09-30 |
| 1376173658 | Marcuetta D. Sims | Psychologist | 2436 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2020-01-25 |
| 1043740772 | John Acomb | Psychologist | 4743 Carmichael Chase Ne, Marietta, GA 30066-1473 | 2017-06-15 |
| 1679857171 | Michael Jay Manalo | Psychologist | 45 South Ave Se, Ste 100, Marietta, GA 30060-2539 | 2011-10-03 |
| 1447303524 | Sheri Michelle Siegel | Psychologist | 125 Church St Ne, Suite 210, Marietta, GA 30060-8638 | 2007-01-19 |
| 1699859876 | Nancy Ellen Reigle | Psychologist | 2627 Sandy Plains Rd, Suite 101, Marietta, GA 30066-4269 | 2006-10-25 |
| 1306134564 | Tonette Robinson | Psychologist | 55 Whitcher St Ne Ste 420, Marietta, GA 30060-1171 | 2011-07-20 |
| 1710034723 | Christine K Beard | Psychologist | 2655 Dallas Hwy Sw, Suite 230, Marietta, GA 30064-2597 | 2007-01-04 |
| 1487742052 | Rebecca Andrea Beaton | Psychologist | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2006-10-10 |
| 1588676654 | Susan Leslie Mayo | Psychologist | 1640 Powers Ferry Rd Se, Bldg. 17, Ste. 350, Marietta, GA 30067-5491 | 2006-08-13 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. LINDA PAK BRUNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.