| Doctor Name: | THOMAS P KUNKLE |
| NPI Number: | 1043439698 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD. |
| License Number: | 62002015 |
| Business Practice Address: | 335 Buckeye Blvd Port Clinton, OH - 434521423 |
| Business Phone Number: | 4197342942 |
| Business Fax Number: | |
| Mailing Address: | 535 S Park Ave, FREMONT |
| State: | OH |
| Postal Code: | 434203421 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 62002015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |