Healthcare Provider Details

I. General information

NPI: 1245379452
Provider Name (Legal Business Name): SARAH MCGEHEE BUNCH PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. SARAH ANNE MCGEHEE

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MAIN ST., SUITE 207
MARTINEZ CA
94553
US

IV. Provider business mailing address

535 MAIN ST., SUITE 207
MARTINEZ CA
94553
US

V. Phone/Fax

Practice location:
  • Phone: 415-235-0951
  • Fax:
Mailing address:
  • Phone: 415-235-0951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY28251
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: