Provider Demographics
NPI:1689816738
Name:JUNTUNEN, TAMRY L (TAMRY JUNTUNEN)
Entity Type:Individual
Prefix:
First Name:TAMRY
Middle Name:L
Last Name:JUNTUNEN
Suffix:
Gender:F
Credentials:TAMRY JUNTUNEN
Other - Prefix:
Other - First Name:TAMRY
Other - Middle Name:L
Other - Last Name:JUNTUNEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TAMRY JUNTUNEN
Mailing Address - Street 1:19019 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3253
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:818-758-8015
Practice Address - Street 1:212 S MARION ST
Practice Address - Street 2:SUITE 11
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-3159
Practice Address - Country:US
Practice Address - Phone:708-358-3000
Practice Address - Fax:708-524-0300
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst