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Provider Information for 1467766386



DR. ROBYN A VAN BRUNT PH.D.

Other Name:   ROBYN ZAKALIK
Gender: FEMALE

Individual NPI: 1467766386

Calendar   Last Updated:  2019-12-20
  Certification Date:  2019-12-20

Details

Name Value
NPI 1467766386
Enumeration Date 2010-08-03
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 615 JEFFERSON DAVIS HWY STE 101
FREDERICKSBURG, VA 22401-8407
United States

Phone: 540-268-3388 | Fax:
View Map External Link
Primary Practice Address 615 JEFFERSON DAVIS HWY STE 101
FREDERICKSBURG, VA 22401-8407
United States

Phone: 540-445-1125 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 103TC0700X - Psychologist Clinical VA 0810004286
No 103TC1900X - Psychologist Counseling VA 0810004286