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Individual
DR. KEVIN SEAN BUNCH
Active
Individual
DR. KEVIN SEAN BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY24580
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103TC0700X
STAFF ID
CA
05
—
103TC0700X
—
CA
01
—
5188
STAFF ID #
CA
Enumeration date
01/12/2007
Last updated
08/04/2020
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