Provider Demographics
NPI:1568731768
Name:GUNTHER, MARIANNE (MPS ATR-BC LCAT)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:MPS ATR-BC LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 20TH ST
Mailing Address - Street 2:SUITE 5RW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1310
Mailing Address - Country:US
Mailing Address - Phone:347-628-9279
Mailing Address - Fax:
Practice Address - Street 1:30 E 20TH ST
Practice Address - Street 2:SUITE 5 RW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1310
Practice Address - Country:US
Practice Address - Phone:347-628-9279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001073101YM0800X, 221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist