Individual
DR. SETH KUNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
523
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP.000037
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136948
—
LA
01
—
523
CLINICAL PSYCHOLOGY LIC
LA
01
—
MP.000037
MEDICAL PSYCHOLOGIST
LA
Enumeration date
11/28/2006
Last updated
12/05/2016
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