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Search › Michigan › 104100000X

Theresa Bundy-Pham

NPI 1679801179 · on the registry since 2009 · sole proprietor

Practice

Address
1000 Parchment Dr Se
Grand Rapids, MI 49546
Phone
(616) 957-9112
Fax
(616) 957-2409
Organisation at this address
Mark W Hinshaw Md Pc
Dafraner Enterprises Plc
Psychology Associates Of Grand Rapids Pc
Psychology Associates Of Grand Rapids Pc
Psychology Associates Of Grand Rapids Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan