Provider Demographics
NPI:1083473821
Name:GUNTER, TAMECA MARCIA (MD)
Entity Type:Individual
Prefix:
First Name:TAMECA
Middle Name:MARCIA
Last Name:GUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAMECA
Other - Middle Name:M
Other - Last Name:GUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1160 WILLMOHR ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3202
Mailing Address - Country:US
Mailing Address - Phone:347-616-1997
Mailing Address - Fax:
Practice Address - Street 1:1160 WILLMOHR ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3202
Practice Address - Country:US
Practice Address - Phone:347-616-1997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1787422241103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst