Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | ||
N | 103TC0700X | Clinical Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 00793 | IA |
Y | 103TC0700X | Clinical Psychologist | 00793 | IA |
N | 170100000X | Medical Geneticist | 00793 | IA |
NPI | 1730142589 |
---|---|
Provider Name | Dr. Franlynn Bugg |
First Address | Davenport, IA 52807-2903 |
Second Address | Davenport, IA 52807-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 19/04/2021 |