| Kathleen S Gunther Pc | |
|
15450 E Jefferson Ave Ste 130 Grosse Pointe Park MI 48230-2028 | |
| (734) 657-3333 | |
| Not Available |
| Full Name | Kathleen S Gunther Pc |
|---|---|
| Speciality | Psychologist |
| Location | 15450 E Jefferson Ave Ste 130, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Kathleen S Gunther (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7346573333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen S Gunther Pc 46841 Greenridge Dr Northville MI 48167-1766 Ph: (734) 657-3333 | Kathleen S Gunther Pc 15450 E Jefferson Ave Ste 130 Grosse Pointe Park MI 48230-2028 Ph: (734) 657-3333 |
| NPI Number | 1801512033 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Medicare PECOS PAC ID | 3375912835 |
|---|---|
| Medicare Enrollment ID | O20221206001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801512033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathleen S Gunther |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912007618 PECOS PAC ID: 1254300460 Enrollment ID: I20040924000823 |
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