Individual
DR. DOUGLAS B BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1008 S 1300 E, SALT LAKE CITY, UT 84105-1548
(801) 583-7184
Mailing address
1008 S 1300 E, SALT LAKE CITY, UT 84105-1548
(801) 583-7184
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
117535-2501
UT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
117535-2501
UT
103TH0100X
Health Service Psychologist
117535-2501
UT
Other
Enumeration date
04/14/2006
Last updated
04/26/2011
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