Doctor Name: | DR. CAROL AHUNA |
NPI Number: | 1033241716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1969 |
Business Practice Address: | 111 Vesta Rd Salida, CO - 812019327 |
Business Phone Number: | 7195396502 |
Business Fax Number: | 7195393988 |
Mailing Address: | 3225 Independence Rd, CANON CITY |
State: | CO |
Postal Code: | 812129380 |
Phone Number: | 7192752351 |
Fax Number: | 7192699386 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |