Doctor Name: | MR. ROBERT E CUNNINGHAM |
NPI Number: | 1245581669 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 002723-1 |
Business Practice Address: | 71 Main St Silver Creek, NY - 141361446 |
Business Phone Number: | 7165623115 |
Business Fax Number: | |
Mailing Address: | 9813 Shorecliff Rd, ANGOLA |
State: | NY |
Postal Code: | 140069062 |
Phone Number: | 7165623115 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2012 |
NPI Last Update Date: | 03/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 002723-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |