NPI 1255595146 · live from the CMS NPI Registry
Patricia P Bundy, EdD, LPC, MFT
Counselor, Professional in Roanoke, VA. National Provider Identifier 1255595146, active.
NPI record
| NPI | 1255595146 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 24 Walnut Ave Sw, Roanoke, VA 24016 |
| Practice phone | 540-344-5100 |
| Enumerated | July 10, 2008 |
| Last updated | July 10, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 0701001628 (VA) |
| Marriage & Family Therapist | 106H00000X | 0717000490 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.