Provider Demographics
NPI:1043730773
Name:SUNANDAY, CAROL RUTH
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:RUTH
Last Name:SUNANDAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 S TULPEHOCKEN RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-1029
Mailing Address - Country:US
Mailing Address - Phone:610-223-7902
Mailing Address - Fax:
Practice Address - Street 1:405 S TULPEHOCKEN RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1029
Practice Address - Country:US
Practice Address - Phone:610-223-7902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health