Provider Demographics
NPI:1558349415
Name:GUNN, PATRICIA P (EDD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:P
Last Name:GUNN
Suffix:
Gender:F
Credentials:EDD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E PARKWOOD AVE
Mailing Address - Street 2:#106
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5174
Mailing Address - Country:US
Mailing Address - Phone:281-482-5999
Mailing Address - Fax:281-286-4048
Practice Address - Street 1:211 E PARKWOOD AVE
Practice Address - Street 2:#106
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5174
Practice Address - Country:US
Practice Address - Phone:281-482-5999
Practice Address - Fax:281-286-4048
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22864103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOOU35PMedicare ID - Type UnspecifiedPSYCHOLOGIST