Gunther, Maida G

Gunther, Maida G is an individual health care provider with primary practice located at 2828 Chicago Ave Suite #200, Minneapolis MN 55407-1544. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Gunther, Maida G can be contacted via phone (612) 879-1000.

Contact Information

Primary practice address
2828 Chicago Ave Suite #200 Minneapolis MN 55407-1544
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP3565 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3565 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3565 Minnesota

Profile Details

NPI number 1780660951
LBN Legal business name Gunther, Maida G
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Oct 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780660951 NPPES
Minnesota Other 392G5GU BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 482415600 BLUE CROSS BLUE SHIELD
Minnesota Other 61-78167 BLUE CROSS BLUE SHIELD

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