Doctor Name: | MRS. HOINU THIRUMALAI BUNCE |
NPI Number: | 1336151307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D., LP |
License Number: | LP4714 |
Business Practice Address: | 8640 Eagle Creek Circle Savage, MN - 55378 |
Business Phone Number: | 9527467664 |
Business Fax Number: | 9527460583 |
Mailing Address: | 8640 Eagle Creek Circle, SAVAGE |
State: | MN |
Postal Code: | 55378 |
Phone Number: | 9527467664 |
Fax Number: | 9527460582 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP4714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |