Provider Demographics
NPI:1114029378
Name:BRUNI, ANTHONY D (LSW)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:D
Last Name:BRUNI
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414-416 ALLEGHENY RIVER BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1735
Mailing Address - Country:US
Mailing Address - Phone:412-828-0765
Mailing Address - Fax:412-828-5660
Practice Address - Street 1:414-416 ALLEGHENY RIVER BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1735
Practice Address - Country:US
Practice Address - Phone:412-828-0765
Practice Address - Fax:412-828-5660
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW012132L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
334094OtherHIGHMARK BLUE CROSS
7790301OtherAETNA
334094OtherHIGHMARK BLUE CROSS