Organization
SUNDE M NESBIT PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDE MICHELE NESBIT PHD (PSYCHOLOGIST)
(765) 532-7955
Entity
Organization
Contact information
Practice address
408 DOUGLAS AVE STE C, AMES, IA 50010-6260
(515) 232-2567
Mailing address
408 DOUGLAS AVE STE C, AMES, IA 50010-6260
(515) 232-2567
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600675432
—
IA
Enumeration date
02/04/2021
Last updated
02/10/2021
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