Individual
DANA LACHELLE BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
5325 IAN DR., MCCLEANSVILLE, NC 27301-8123
(336) 437-0070
Mailing address
5325 IAN DRIVE, MCCLEANSVILLE, NC 27301-8123
(336) 437-0070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5707
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412016
—
NC
Enumeration date
04/17/2007
Last updated
07/09/2007
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