Doctor Name: | MARIA BUNDY |
NPI Number: | 1831588771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 101912591 |
Business Practice Address: | 1615 Ojo Court Farmington, NM - 87499 |
Business Phone Number: | 5055644804 |
Business Fax Number: | 5055644857 |
Mailing Address: | 1615 Ojo Court, FARMINGTON |
State: | NM |
Postal Code: | 87499 |
Phone Number: | 5055644804 |
Fax Number: | 5055644857 |
NPI Enumeration Date: | 01/15/2015 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 101912591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |