| Eating Disorder Recovery Services Professional Corporation | |
|
5365 Mae Anne Ave Suite B-10 Reno NV 89523-1840 | |
| (775) 287-2706 | |
| Not Available |
| Full Name | Eating Disorder Recovery Services Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5365 Mae Anne Ave, Reno, Nevada |
| Authorized Official Name and Position | Daniel Frederick Gunnarson (PRESIDENT) |
| Authorized Official Contact | 7752872706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Recovery Services Professional Corporation Po Box 2866 Reno NV 89505-2866 Ph: (775) 287-2706 | Eating Disorder Recovery Services Professional Corporation 5365 Mae Anne Ave Suite B-10 Reno NV 89523-1840 Ph: (775) 287-2706 |
| NPI Number | 1629222013 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629222013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0360 (Nevada) | Primary |
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