Individual
DR. DAVID PAYNE BULLIS
Active
Individual
DR. DAVID PAYNE BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6826
MA
103TC0700X
Clinical Psychologist
Primary
6826
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526592
—
MA
01
—
W10653
BCBS
MA
Enumeration date
04/10/2006
Last updated
07/12/2024
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