Provider Demographics
NPI:1083066351
Name:BUNCE, PATRICIA (MS ED)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:BUNCE
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 LANSING RD S
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-4582
Mailing Address - Country:US
Mailing Address - Phone:518-381-9096
Mailing Address - Fax:
Practice Address - Street 1:217 LANSING RD S
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-4582
Practice Address - Country:US
Practice Address - Phone:518-381-9096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000747-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health