Stacie F Bunning, PSY.D.
Individual provider Active NPI Clinical Psychologist · Weldon Spring, MO
NPI 1982904785 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1982904785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 01738 (MO)
- Practice address
- 500 Huber Park CT
Suite 109
Weldon Spring, MO 63304-8683 - Phone
- (314) 363-7557
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 01738 | MO | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01738 | MO | Yes |
Addresses
Primary practice location
500 Huber Park CT
Suite 109
Weldon Spring, MO 63304-8683
Mailing address
500 Huber Park CT
Suite 109
Weldon Spring, MO 63304-8683
Phone (314) 363-7557
Other providers in Weldon Spring, MO
- Christa Victoria Blazevic
- Windy Ann Bragen
- Emily M Brunson
- Katherine Ann Brunson
- Aaron Joseph Buban
- Janice Kay Burkemper
- Todd M Cadell
- Jaimeson Rachel Campbell
- Centerpointe Outpatient Services, LLC
- Allen Philip Chamberlain
All providers in Weldon Spring, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. 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.