Provider Demographics
NPI:1710963988
Name:GUNTHER & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:GUNTHER & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIDA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:GUNTHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:763-425-1185
Mailing Address - Street 1:PO BOX 43907
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-0907
Mailing Address - Country:US
Mailing Address - Phone:763-425-1185
Mailing Address - Fax:
Practice Address - Street 1:8085 WAYZATA BLVD
Practice Address - Street 2:STE. 216
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55426-1453
Practice Address - Country:US
Practice Address - Phone:763-425-1185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN392G5GUOtherBLUE CROSS BLUE SHIELD
MN61-78167OtherUNITED BEHAVIORAL HEALTH
MN61-78167OtherUNITED BEHAVIORAL HEALTH