Provider Demographics
NPI:1285076935
Name:BUNCE, ANDREW R (PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:R
Last Name:BUNCE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N PALM AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3241
Mailing Address - Country:US
Mailing Address - Phone:786-457-9431
Mailing Address - Fax:
Practice Address - Street 1:1601 N PALM AVE STE 210
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3241
Practice Address - Country:US
Practice Address - Phone:786-457-9431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5458103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical