Provider Demographics
NPI:1043356207
Name:GUNDY, DONNA DEMPSTER (LMFT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:DEMPSTER
Last Name:GUNDY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MALLARD POINT RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1464
Mailing Address - Country:US
Mailing Address - Phone:914-522-0264
Mailing Address - Fax:
Practice Address - Street 1:34 MALLARD POINT RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1464
Practice Address - Country:US
Practice Address - Phone:914-522-0264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2469106H00000X
NY000374106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist