DAVE WESLEY BUSSELL II
NPI 1063930758
Psychologist - Clinical in Wayne, MI

Q: What is Dave Bussell's NPI number?

The NPI number for Dave Bussell is 1063930758. It was assigned to this individual provider in the NPPES registry on September 2, 2017.

Q: What is Dave Bussell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Dave Bussell was last updated on June 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 02, 2017

34841 VETERANS PLZ, WAYNE, MI 48184(313) 292-7640(313) 292-9270 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2020, Jun 8, 2020, Dec 31, 2019 and 2 more (5 updates tracked since 2017).

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About Dave Wesley Bussell Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVE WESLEY BUSSELL II (NPI 1063930758) is an individual clinical provider in Wayne, Michigan, licensed in Michigan (6361004483) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1063930758

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDAVE WESLEY BUSSELL II

Location Address34841 VETERANS PLZWayne, MI 48184-1733

Mailing Address34841 Veterans PlzWayne, MI 48184-1733 · (313) 292-7640 · Fax (313) 292-9270

Phone(313) 292-7640

Fax(313) 292-9270

Sole ProprietorYes

Enumeration DateSeptember 2, 2017

Last NPPES UpdateJune 30, 20205 updates tracked since enumeration

NPPES CertifiedJune 30, 2020

✔ NPI 1063930758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6361004483

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

34841 VETERANS PLZ, Wayne, MI 48184

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