Doctor Name: | DR. DEBORAH JEAN GUNTON |
NPI Number: | 1316256050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 349 West Lancaster Avenue Suite 201 Haverford, PA - 19041 |
Business Phone Number: | 6102174592 |
Business Fax Number: | |
Mailing Address: | 349 West Lancaster Avenue, Suite 201 HAVERFORD |
State: | PA |
Postal Code: | 19041 |
Phone Number: | 6102174592 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2010 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |