Provider Demographics
NPI:1639264120
Name:BRUNER, LINDA PAK (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:PAK
Last Name:BRUNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:PAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:185 BOLLING ROAD
Mailing Address - Street 2:LINDA PAK, LLC
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-386-0271
Mailing Address - Fax:
Practice Address - Street 1:1640 POWERS FERRY ROAD SE, BUILDING 9, SUITE 100
Practice Address - Street 2:THE ANXIETY & STRESS MANAGEMENT INSTITUTE
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-5491
Practice Address - Country:US
Practice Address - Phone:770-953-0080
Practice Address - Fax:770-953-0031
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling