Individual
STACIE F BUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 HUBER PARK CT, SUITE 109, WELDON SPRING, MO 63304-8683
(314) 363-7557
Mailing address
500 HUBER PARK CT, SUITE 109, WELDON SPRING, MO 63304-8683
(314) 363-7557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01738
MO
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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