Basic Information
| Provider Information | |||||||||
| NPI: | 1235566225 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BREUNIG | ||||||||
| FirstName: | ZACHARY | ||||||||
| MiddleName: | B | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7320 JACOBS CREEK DR APT 431 | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685129568 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6088524804 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7100 S 29TH ST STE B | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685166056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024760104 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2013 | ||||||||
| LastUpdateDate: | 10/04/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 10090 | NE | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.