Organization
KENNETH A. BUNDZA AND SHERWIN Y. KEPES
Active
Other names
The Consulting Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A. BUNDZA PH.D. (PARTNER)
(260) 749-8419
Entity
Organization
Contact information
Practice address
6026 E STATE BLVD, FORT WAYNE, IN 46815-7639
(260) 749-8419
(260) 749-0553
Mailing address
6026 E STATE BLVD, FORT WAYNE, IN 46815-7639
(260) 749-8419
(260) 749-0553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20010117A
IN
103T00000X
Psychologist
Primary
20010242A
IN
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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