Gunther, Tara J
Gunther, Tara J is an individual health care provider with primary practice located at 12311 Perry Hwy , Wexford PA 15090-8344. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gunther, Tara J can be contacted via phone (878) 332-4240.Contact Information
Primary practice address
12311 Perry Hwy
Wexford PA 15090-8344
Phone: (878) 332-4240
Fax: (878) 332-4481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS018000 | Pennsylvania |
Profile Details
| NPI number | 1598922593 |
|---|---|
| LBN Legal business name | Gunther, Tara J |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Jan 16th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598922593 | NPPES |
| Pennsylvania | MEDICAID | 103094504 |
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