Provider Demographics
NPI:1467796904
Name:BRUNS, ALISON ASPINWALL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:ASPINWALL
Last Name:BRUNS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ASPINWALL
Other - Last Name:MUNOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2470 WESTLAKE AVE N
Mailing Address - Street 2:STE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2282
Mailing Address - Country:US
Mailing Address - Phone:206-659-6372
Mailing Address - Fax:
Practice Address - Street 1:2470 WESTLAKE AVE N
Practice Address - Street 2:STE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2282
Practice Address - Country:US
Practice Address - Phone:206-659-6372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60319115101YM0800X
WAPY60340365103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPY60340365OtherWASHINGTON STATE DEPARTMENT OF HEALTH