Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN RICHARD BUNNELL
ActiveMR. STEPHEN RICHARD BUNNELL is a Clinical Social Worker healthcare provider located in WEISER, Idaho. NPI 1225373137 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WEISER, ID
Registration Details
- NPI Number
- 1225373137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2012 (13.726492925609 yrs)
- Last Updated
- Aug 28, 2022
- Licenses
-
171560202 (UT)LCSW-40292 (ID)
Practice Information
- Address
-
824 MCCORMICK RDWEISER, ID, 836725102Browse ID providers · Browse ZIP 83672
- Phone
- 2082480477
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.