Provider Demographics
NPI:1437537297
Name:GUNN, SABRINA DANIELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:DANIELLE
Last Name:GUNN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SABRINA
Other - Middle Name:DANIELLE
Other - Last Name:NETTLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3130 N. COUNTY RD. 25A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373
Mailing Address - Country:US
Mailing Address - Phone:937-440-7626
Mailing Address - Fax:937-440-7702
Practice Address - Street 1:3130 N. COUNTY RD. 25A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373
Practice Address - Country:US
Practice Address - Phone:937-440-7626
Practice Address - Fax:937-440-7702
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340128272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry