NPI | 1639328040 |
---|---|
Former Legal Business Name | ANNE C BUNN, PHD, LLC |
Entity Type | Organization |
Authorized Contact | ANNE CATHERINE FITZGERALD Owner Provider 307-399-7499 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WY 308) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2021-12-15 |