Provider Demographics
NPI:1619661162
Name:BUNDY, CHRISTINA MARIE (BA IN PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:BUNDY
Suffix:
Gender:F
Credentials:BA IN PSYCHOLOGY
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6356 GLENHURST DR APT 6
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-4143
Mailing Address - Country:US
Mailing Address - Phone:419-276-7746
Mailing Address - Fax:
Practice Address - Street 1:5577 AIRPORT HWY STE 200
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-7364
Practice Address - Country:US
Practice Address - Phone:419-346-2664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator