Individual
TARA J GUNTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4240
(878) 332-4481
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4240
(878) 332-4481
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018000
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103094504
—
PA
Enumeration date
05/19/2008
Last updated
01/16/2017
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