Doctor Name: | DR. RANDI M. GUNTHER |
NPI Number: | 1457370264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 13567 |
Business Practice Address: | 2075 Palos Verdes Dr N Ste 218 Lomita, CA - 907173726 |
Business Phone Number: | 3103253873 |
Business Fax Number: | 3103259302 |
Mailing Address: | 9 Shadow Ln, ROLLING HILLS ESTATES |
State: | CA |
Postal Code: | 902744129 |
Phone Number: | 3105416691 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 13567 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |