IndividualActive
Amanda Brunette
NPI 1770197790 · Clinical Psychologist · Fairway, KS
Provider details
- NPI number
- 1770197790
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 02892 (KS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
Practice location
4330 Shawnee Mission Pkwy Ste 2180
Fairway, KS 66205-2522
Phone: (913) 588-6973
Approximate (ZIP-level) locationGet directions
Mailing address
6201 Johnson Dr Apt 506
Mission, KS 66202-3483
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-09-08
- Certified
- 2020-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.