Provider Demographics
NPI:1346243029
Name:TUNNELL, GILBERT B (PHD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:B
Last Name:TUNNELL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:GIL
Other - Middle Name:
Other - Last Name:TUNNELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:222 W 14TH ST
Mailing Address - Street 2:APT 10C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7209
Mailing Address - Country:US
Mailing Address - Phone:212-352-3511
Mailing Address - Fax:
Practice Address - Street 1:222 W 14TH ST
Practice Address - Street 2:APT 10C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7209
Practice Address - Country:US
Practice Address - Phone:212-352-3511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8316-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical