Doctor Name: | DR. RANEE BEATY GUMM |
NPI Number: | 1104834175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 22341 |
Business Practice Address: | 1848 Norwood Plaza Suite 112 Hurst, TX - 760543751 |
Business Phone Number: | 8172826655 |
Business Fax Number: | 8172826657 |
Mailing Address: | 1848 Norwood Plaza, Suite 112 HURST |
State: | TX |
Postal Code: | 760543751 |
Phone Number: | 8172826655 |
Fax Number: | 8172826657 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 22341 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |