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Individual

MELISSA R BUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
711 W 38TH ST, BLDG. F, AUSTIN, TX 78705-1121
(512) 458-6121
(512) 452-5567
Mailing address
711 W 38TH ST, BLDG. F, AUSTIN, TX 78705-1121
(512) 458-6121
(512) 452-5567

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3-0720
TX

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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