Healthcare Provider Details

I. General information

NPI: 1730142589
Provider Name (Legal Business Name): FRANLYNN BUGG PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 E 56TH ST SUITE 100
DAVENPORT IA
52807-2903
US

IV. Provider business mailing address

4700 E 56TH ST SUITE 100
DAVENPORT IA
52807-2903
US

V. Phone/Fax

Practice location:
  • Phone: 563-421-0480
  • Fax: 563-421-0489
Mailing address:
  • Phone: 563-383-2667
  • Fax: 563-383-2672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number00793
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number00793
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: