| Randall Earl Bundy | |
|
510 Bluff Ave Brainerd MN 56401-2653 | |
| (218) 829-1063 | |
| Not Available |
| Full Name | Randall Earl Bundy |
|---|---|
| Speciality | Psychologist |
| Location | 510 Bluff Ave, Brainerd, Minnesota |
| Authorized Official Name and Position | Randy Earl Bundy (OWNER) |
| Authorized Official Contact | 2188291063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Earl Bundy 510 Bluff Ave Brainerd MN 56401-2653 Ph: (218) 829-1063 | Randall Earl Bundy 510 Bluff Ave Brainerd MN 56401-2653 Ph: (218) 829-1063 |
| NPI Number | 1649367806 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649367806 | NPI | - | NPPES |
| 9050AD | Other | MN | BCBS |
| 122361 | Other | MN | UCARE |
| 5066093 | Other | MN | MEDICA |
| 8115555100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
The Therapist Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 401 W Laurel St Ste C, Brainerd, MN 56401 Phone: 218-454-3288 Fax: 218-461-3873 | |
Indigo Counseling Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E River Rd Ste 205, Brainerd, MN 56401 Phone: 218-232-3089 Fax: 218-302-0440 | |
Northern Pines Mental Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368 | |
Eastwest Counseling And Consulting Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 18510 Mn-371, Suite A, Brainerd, MN 56401 Phone: 218-537-8680 | |
Reflections Therapy And Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18510 State Highway 371 Ste B, Brainerd, MN 56401 Phone: 218-514-7062 Fax: 218-217-4071 | |
Northern Pines Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-821-7818 | |
Oakridge Support Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Industrial Park Rd Sw, Brainerd, MN 56401 Phone: 218-829-7599 Fax: 218-829-7498 |