Doctor Name: | MR. STEVEN WINTON GUNN |
NPI Number: | 1467730150 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | PS007371L |
Business Practice Address: | 247 Spruce St Emmaus, PA - 180492528 |
Business Phone Number: | 6109674695 |
Business Fax Number: | |
Mailing Address: | 247 Spruce St, EMMAUS |
State: | PA |
Postal Code: | 180492528 |
Phone Number: | 6109674695 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2011 |
NPI Last Update Date: | 07/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS007371L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |