Provider Demographics
NPI:1376988857
Name:BUNCE, ARTHUR (LICSW)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:BUNCE
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 JUDICIAL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-5512
Mailing Address - Country:US
Mailing Address - Phone:952-224-2990
Mailing Address - Fax:952-224-2990
Practice Address - Street 1:2960 JUDICIAL RD STE 210
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5512
Practice Address - Country:US
Practice Address - Phone:952-224-2990
Practice Address - Fax:952-224-2990
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN66351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical