Bruce W Bundy in Bend - Clinical

Bruce W Bundy - NPI 1851452221

Bruce W Bundy is a Clinical in Bend, Oregon. Bruce W Bundy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce W Bundy is 1851452221. The last update date is 2007-07-08.

Bruce W Bundy's current location address is 1569 Sw Nancy Way Ste 5, Bend, Oregon. You can contact this provider via phone number 5413820279 and fax number 5413826003. The mailing address for Bruce W Bundy is 1569 Sw Nancy Way Ste 5, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce W Bundy
Address 1569 Sw Nancy Way Ste 5, Bend, Oregon
Phone Number 5413820279
Fax Number 5413826003
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1851452221
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1569 Sw Nancy Way Ste 5
City Bend
State Oregon (OR)
Post Code 977023234
Phone Number 5413820279
Fax Number 5413826003

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 752
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Bruce W Bundy

What is the unique provider identifier assigned to Bruce W Bundy?

The Bruce W Bundy has been issued the NPI (National Provider Identifier) 1851452221 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Bruce W Bundy is physically located?

The Bruce W Bundy is physically situated at the following address: 1569 Sw Nancy Way Ste 5, Bend, OR, 977023234.

What is the Bruce W Bundy's area of specialization and corresponding taxonomy classification?

The Bruce W Bundy's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1851452221 to Bruce W Bundy?

The Centers for Medicare & Medicaid Services originally issued the 1851452221 to Bruce W Bundy on 2006-12-12.

When was the information pertaining to Bruce W Bundy most recently updated or revised?

The details related to Bruce W Bundy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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