CHRISTINE SIMONE GUNDERSON


Address: 42 Queen Street, Nassau, NEW PROVIDENCE 00000, BS
Phone: 9492007115

CHRISTINE SIMONE GUNDERSON (NPI# 1003441320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003441320
Entity Type Individual
Full Name CHRISTINE SIMONE GUNDERSON
Other Name CHRISTINE SIMONE MERRILL
Credential SCHOOL PSYCHOLOGIST
Practice Address 42 Queen Street
Nassau
NEW PROVIDENCE 00000
BS
Mailing Address Unit 3370 Box 42
Dpo
AA 34011-0042
Practice Telephone 9492007115
Mailing Telephone 9492007115
Enumeration Date 2020-03-06
Last Update Date 2020-03-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
160071453 CA Behavioral Health & Social Service Providers

Office Location

Street Address 42 QUEEN STREET
City NASSAU
State NEW PROVIDENCE
Zip Code 00000

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093020166 John Eugene Walden Psychologist 2610 Us 20, Nassau, NY 12123-1815 2010-08-13

Competitor

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City NASSAU
Zip Code 00000

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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