GUNTHER & ASSOCIATES, P.A.
Clinical Neuropsychologist
Golden Valley, Minnesota
Provider NPI: 1710963988
Organization Information:Organization Name: GUNTHER & ASSOCIATES, P.A.
Organization is not Subpart
Authorized Official: MAIDA GRACE GUNTHER OWNER 763-4251185
Practice Location:
8085 WAYZATA BLVD STE. 216 GOLDEN VALLEY, MN 55426 US
Tel: 763-425-1185 Fax: --
Business Mailing Address:
PO BOX 43907 BROOKLYN PARK, MN 55443 US
Tel: 763-425-1185 Fax: --
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: MAIDA GRACE GUNTHER OWNER 763-4251185
Practice Location:
8085 WAYZATA BLVD STE. 216 GOLDEN VALLEY, MN 55426 US
Tel: 763-425-1185 Fax: --
Business Mailing Address:
PO BOX 43907 BROOKLYN PARK, MN 55443 US
Tel: 763-425-1185 Fax: --
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | ||
X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | ||
X | 103TC0700X | Behavioral Health & Social Service Providers Psychologist |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 392G5GU | MN | 01 |
UNITED BEHAVIORAL HEALTH | 61-78167 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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