Individual
DR. MARY LU BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD # 116B, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD # 116B, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3900
AZ
Other
Enumeration date
09/09/2007
Last updated
09/09/2007
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