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Individual
MRS. JULIE BUSSMAN
Active
Individual
MRS. JULIE BUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22145
CA
103TC0700X
Clinical Psychologist
3992
AZ
103TC0700X
Clinical Psychologist
LP5708
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z125623
MEDICARE PROVIDER NUMBER
AZ
Enumeration date
10/31/2007
Last updated
06/17/2014
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