Provider Demographics
NPI:1457699779
Name:BRUNO, CRISTINA LYNN (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:LYNN
Last Name:BRUNO
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MOLLY BEE RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-3331
Mailing Address - Country:US
Mailing Address - Phone:908-380-1159
Mailing Address - Fax:
Practice Address - Street 1:875 ROUTE 202/206
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1861
Practice Address - Country:US
Practice Address - Phone:908-526-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00417600235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist