Provider Demographics
NPI:1467720508
Name:CHUNEYEVA, ANNA (PSYD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CHUNEYEVA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 WASHINGTON ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8256
Mailing Address - Country:US
Mailing Address - Phone:954-961-1500
Mailing Address - Fax:954-961-7942
Practice Address - Street 1:3700 WASHINGTON ST
Practice Address - Street 2:SUITE 304
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8256
Practice Address - Country:US
Practice Address - Phone:954-961-1500
Practice Address - Fax:954-961-7942
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-04
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8394103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist