Doctor Name: | MRS. PATRICIA ANN BUNT |
NPI Number: | 1083915185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | SLP005909 |
Business Practice Address: | 7400 Peachtree Dunwoody Rd Ne Atlanta, GA - 303281673 |
Business Phone Number: | 7703507833 |
Business Fax Number: | 7703508117 |
Mailing Address: | 536 Old Howell Rd, GREENVILLE |
State: | SC |
Postal Code: | 296151969 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/05/2010 |
NPI Last Update Date: | 11/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |