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MAIDA G GUNTHER PH.D.

Clinical Neuropsychologist

Minneapolis, Minnesota

Provider NPI: 1780660951

Provider Information:
 MAIDA G GUNTHER PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
2828 CHICAGO AVE SUITE #200 MINNEAPOLIS, MN 55407 US
Tel: 612-879-1000  Fax: 612-879-9116

Business Mailing Address:
2828 CHICAGO AVE SUITE #200 MINNEAPOLIS, MN 55407 US
Tel: 612-879-1000  Fax: 612-879-9116

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MNLP3565
N103T00000XBehavioral Health & Social Service Providers
Psychologist
MNLP3565
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MNLP3565

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD392G5GUMN01
UNITED BEHAVIORAL HEALTH61-78167MN01
482415600MN05
Code values:
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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