Susan Lynn Bunnell in Idaho Falls - Child & Adolescent Psychiatry
Susan Lynn Bunnell - NPI 1346216975
Susan Lynn Bunnell is a Child & Adolescent Psychiatry in Idaho Falls, Idaho. Susan Lynn Bunnell practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Susan Lynn Bunnell is 1346216975. The last update date is 2011-12-16.
Susan Lynn Bunnell's current location address is 2280 E 25th Street, Idaho Falls, Idaho. You can contact this provider via phone number 2082272295 and fax number 2082272364. The mailing address for Susan Lynn Bunnell is 2280 E 25th Street, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lynn Bunnell |
|---|---|
| Address | 2280 E 25th Street, Idaho Falls, Idaho |
| Phone Number | 2082272295 |
| Fax Number | 2082272364 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1346216975 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2011-12-16 |
Provider Mailing Address Detail
| Address | 2280 E 25th Street |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 83404 |
| Phone Number | 2082272295 |
| Fax Number | 2082272364 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 5576 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13426216975 | ID | -- | |
| 4994379 | SD | BCBS | |
| 7101880 | SD | -- |
Post Comment/ Review Below
What is the Susan Lynn Bunnell's 1346216975?
The Susan Lynn Bunnell's NPI (National Provider Identifier) Number is 1346216975. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Lynn Bunnell?
The Susan Lynn Bunnell is physically situated at 2280 E 25Th Street, in the city of Idaho Falls, state of ID, with the postal code 83404.
What is Susan Lynn Bunnell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Lynn Bunnell's specialized field of practice is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346216975 to Susan Lynn Bunnell?
The Susan Lynn Bunnell received its 1346216975 assignment from the Centers for Medicare & Medicaid Services on 2006-02-24.
When was the information pertaining to Susan Lynn Bunnell most recently updated or revised?
The details related to Susan Lynn Bunnell, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-16.