Provider Demographics
NPI:1245379452
Name:BUNCH, SARAH MCGEHEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MCGEHEE
Last Name:BUNCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:MCGEHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:535 MAIN ST., SUITE 207
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553
Mailing Address - Country:US
Mailing Address - Phone:415-235-0951
Mailing Address - Fax:
Practice Address - Street 1:535 MAIN ST., SUITE 207
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553
Practice Address - Country:US
Practice Address - Phone:415-235-0951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAPSY28251103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program