Provider Demographics
NPI:1407627979
Name:BRUNI, CINDY SUZANNE (MS)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:SUZANNE
Last Name:BRUNI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 CLOUD PEAK DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-8536
Mailing Address - Country:US
Mailing Address - Phone:623-363-6103
Mailing Address - Fax:
Practice Address - Street 1:6020 CLOUD PEAK DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-8536
Practice Address - Country:US
Practice Address - Phone:623-363-6103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health