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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
160071453 | CA | Behavioral Health & Social Service Providers |
Street Address |
42 QUEEN STREET |
City | NASSAU |
State | NEW PROVIDENCE |
Zip Code | 00000 |
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Find all providers in zip 00000 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093020166 | John Eugene Walden | Psychologist | 2610 Us 20, Nassau, NY 12123-1815 | 2010-08-13 |
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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.