Provider Demographics
NPI:1467730150
Name:GUNN, STEVEN WINTON (MA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:WINTON
Last Name:GUNN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2528
Mailing Address - Country:US
Mailing Address - Phone:610-967-4695
Mailing Address - Fax:
Practice Address - Street 1:247 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2528
Practice Address - Country:US
Practice Address - Phone:610-967-4695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007371L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling