Provider Demographics
NPI:1326421256
Name:KUNTZ, ERIC SCOTT (MS)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:SCOTT
Last Name:KUNTZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 HAMILTON ST
Mailing Address - Street 2:HAMILTON SUITES, SUITE 100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1503
Mailing Address - Country:US
Mailing Address - Phone:484-221-8296
Mailing Address - Fax:484-221-8318
Practice Address - Street 1:546 HAMILTON ST
Practice Address - Street 2:HAMILTON SUITES, SUITE 100
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1503
Practice Address - Country:US
Practice Address - Phone:484-221-8296
Practice Address - Fax:484-221-8318
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor