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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MYRA BETH BUNDY, PH.D.

Active Sole Proprietor

DR. MYRA BETH BUNDY, PH.D. is a Child, Clinical Psychologist healthcare provider located in RICHMOND, Kentucky. NPI 1972713220 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · RICHMOND, KY

Registration Details

NPI Number
1972713220
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2007 (19.202395517409 yrs)
Last Updated
Jul 8, 2007
License
KY-1021 (KY)
Sole Proprietor
Yes

Practice Information

Address
521 LANCASTER AVE
EKU, DEPARTMENT OF PSYCHOLOGY
RICHMOND, KY, 404753100
Browse KY providers · Browse ZIP 40475
Phone
8596221105
Fax
8596225817
Primary Specialty
Child, Clinical Psychologist
103TC2200X
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.