Dr. Mary Lu Bushnell
Miss Mary Lu Wylie · Clinical Neuropsychologist

Address: 650 E Indian School Rd # 116b, Phoenix, AZ 85012-1839
Phone: 6022775551

Dr. Mary Lu Bushnell (NPI# 1861687360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1861687360
Entity Type Individual
Full Name Dr. Mary Lu Bushnell
Other Name Miss Mary Lu Wylie
Credential PSY.D.
Gender Female
Practice Address 650 E Indian School Rd # 116b
Phoenix
AZ 85012-1839
Practice Telephone 6022775551
Mailing Address 650 E Indian School Rd # 116b
Phoenix
AZ 85012-1839
Mailing Telephone 6022775551
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-09-09
Last Update Date 2007-09-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers 3900 AZ

Providers with the same name

NPI Name Taxonomy Address Enumeration
1174130470 Mary Lelia Bushnell Case Manager/Care Coordinator 905 E 7th Ave Ste 2, Oakdale, LA 71463-2788 2020-09-30
1336287085 Mary K Bushnell Nurse Practitioner 2415 Se 43rd Ave, Suite 100, Portland, OR 97206-1600 2007-02-02

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2007: title modified, 1/1/2019: defintion modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467088062 Generational Bridges Neuropsychological Services Pllc Clinical Neuropsychologist 1515 E Missouri Dr, Phoenix, AZ 85014 2020-03-16
1750862264 Focus Neuropsychology Az, Pllc Clinical Neuropsychologist 2400 N Central Ave Ste 204, Phoenix, AZ 85004-1341 2018-08-22
1386172732 Brett Andersen Clinical Neuropsychologist 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013-3421 2017-05-30
1164973467 Neuropsychology Associates, PC Clinical Neuropsychologist 1515 E Missouri Ave Ste 110, Phoenix, AZ 85014-2443 2016-10-21
1437524733 Pinnacle Center, Inc. Clinical Neuropsychologist 4423 N 24th St, Phoenix, AZ 85016-5544 2015-12-11
1275969867 Kiran Amin Clinical Neuropsychologist 720 E Peoria Ave, Phoenix, AZ 85020-1575 2013-09-16
1164864161 Surabhi Yeshwant Patwardhan Clinical Neuropsychologist 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112 2013-07-19
1366798050 Irna Lynn Shamos Clinical Neuropsychologist 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 2012-07-31
1295007557 Robin C Ford Clinical Neuropsychologist 4144 N 44th St Ste E, Phoenix, AZ 85018-4260 2012-02-02
1699954800 Barbara M Maxwell, Phd, Plc Clinical Neuropsychologist 11001 N 7th St, 1183, Phoenix, AZ 85020-1142 2007-10-24
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Office Location

Street Address 650 E INDIAN SCHOOL RD # 116B
City PHOENIX
State AZ
Zip Code 85012-1839

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1598259467 Luis F Fong Registered Nurse 3620 N. 3rd Street, Phoenix, AZ 85012 2018-06-14
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
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Competitor

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City PHOENIX
Zip Code 85012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.