Provider Demographics
NPI:1235566225
Name:BREUNIG, ZACHARY B
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:B
Last Name:BREUNIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 JACOBS CREEK DR APT 431
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-9568
Mailing Address - Country:US
Mailing Address - Phone:608-852-4804
Mailing Address - Fax:
Practice Address - Street 1:7100 S 29TH ST STE B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6056
Practice Address - Country:US
Practice Address - Phone:402-476-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10090106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist