Provider Demographics
NPI:1336151307
Name:BUNCE, HOINU THIRUMALAI (PSYD, LP)
Entity Type:Individual
Prefix:MRS
First Name:HOINU
Middle Name:THIRUMALAI
Last Name:BUNCE
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8120 PENN AVE S STE 252
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1365
Mailing Address - Country:US
Mailing Address - Phone:952-737-6766
Mailing Address - Fax:952-767-7785
Practice Address - Street 1:8120 PENN AVE S STE 252
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-1365
Practice Address - Country:US
Practice Address - Phone:952-737-6766
Practice Address - Fax:952-767-7785
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4714103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical