Organization
EATING DISORDER RECOVERY SERVICES PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FREDERICK GUNNARSON PH.D. (PRESIDENT)
(775) 287-2706
Entity
Organization
Contact information
Practice address
5365 MAE ANNE AVE, SUITE B-10, RENO, NV 89523-1840
(775) 287-2706
Mailing address
PO BOX 2866, RENO, NV 89505-2866
(775) 287-2706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0360
NV
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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