MEDICARE: MRS. ADRIENNE MARIE BUNCH M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	19687	TX

General Provider Information

NPI Number	:	1598953499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADRIENNE MARIE BUNCH M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	17729 SILENT HARBOR LOOP
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-2267
Country	:	US
Telephone Number	:	512-663-7021
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 SETON PKWY
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-8000
Country	:	US
Telephone Number	:	512-324-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	06/11/2022

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Directions to “ MRS. ADRIENNE MARIE BUNCH M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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