Individual
MARCY J GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6500 POE AVE STE 400, DAYTON, OH 45414-2527
(937) 276-3356
(927) 276-9514
Mailing address
6500 POE AVE STE 400, DAYTON, OH 45414-2527
(937) 276-3356
(927) 276-9514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290041
ANTHEM
OH
05
—
2009490
—
OH
Enumeration date
01/09/2007
Last updated
10/11/2022
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