Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810002682 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810002682 | VA |
NPI | 1013133610 |
---|---|
Provider Name | Dr. Robert Martin Buncher |
First Address | Richmond, VA 23233-1644 |
Second Address | Richmond, VA 23230-3613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |