Individual
SUNDE MICHELE NESBIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
408 DOUGLAS AVE STE C, AMES, IA 50010-6260
(515) 232-2567
Mailing address
3809 WESTLAWN DR, AMES, IA 50010-4001
(765) 532-7955
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001120
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600675432
—
IA
Enumeration date
08/13/2013
Last updated
02/10/2021
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