Suzanne Bunin, SPECIALIST
Individual provider Active NPI School Psychologist · Eastpointe, MI
NPI 1720355696 · NPPES record last updated Nov 21, 2011
Key facts
- NPI
- 1720355696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 156572 (MI)
- Practice address
- 17200 E 10 Mile Rd
Suite 135
Eastpointe, MI 48021-3355 - Phone
- (586) 279-3250
- NPI assigned
- Nov 21, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156572 | MI | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 156572 | MI | Yes |
Addresses
Primary practice location
17200 E 10 Mile Rd
Suite 135
Eastpointe, MI 48021-3355
Mailing address
17200 E. Ten Mile Rd.
Suite 135
Eastpointe, MI 48021
Phone (586) 279-3250
Other providers in Eastpointe, MI
- Denise Bruerton
- Brunsons Specialty Group
- Monica Buckles
- Shatoya Buckley
- Sheritta Marie Buford
- Unique Burton
- Annetta Margaret Byrne
- C&M Transportation &Limousine LLC
- Jocelyn Tuazon Cabral
- Camaya Home Health Care Agency
All providers in Eastpointe, MI · School Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.