| Bunk,grueneberg &associates,llc | |
|
200 Oak St A Glastonbury CT 06033-2320 | |
| (860) 657-8868 | |
| (860) 657-8802 |
| Full Name | Bunk,grueneberg &associates,llc |
|---|---|
| Speciality | Psychologist |
| Location | 200 Oak St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Ilene Grueneberg (PSYCHOLOGIST) |
| Authorized Official Contact | 8606578868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bunk,grueneberg &associates,llc 200 Oak St A Glastonbury CT 06033-2320 Ph: (860) 657-8868 | Bunk,grueneberg &associates,llc 200 Oak St A Glastonbury CT 06033-2320 Ph: (860) 657-8868 |
| NPI Number | 1073637922 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0143286203 |
|---|---|
| Medicare Enrollment ID | O20041209000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073637922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0001259 (Connecticut) | Primary |
| Provider Name | Barbara S Bunk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689774820 PECOS PAC ID: 3072770437 Enrollment ID: I20120214000093 |
| Provider Name | Ilene Grueneberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558462416 PECOS PAC ID: 8224094396 Enrollment ID: I20120214000131 |
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