Bunch, Kevin Sean
Bunch, Kevin Sean is an sole proprietor health care provider with primary practice located at 535 Main St Suite 207, Martinez CA 94553-1102. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bunch, Kevin Sean can be contacted via phone (925) 315-5277.Contact Information
Primary practice address
535 Main St Suite 207
Martinez CA 94553-1102
Phone: (925) 315-5277
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY24580 | California |
Profile Details
NPI number | 1588715155 |
---|---|
LBN Legal business name | Bunch, Kevin Sean |
Credentials | PSY D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 12th, 2007 |
Last updated | Aug 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588715155 | NPPES |
California | MEDICAID | 103TC0700X | |
California | Other | 103TC0700X | |
California | Other | 5188 |
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