Provider Demographics
NPI:1962817593
Name:GUNN, COURTNEY HIVES (PHD)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:HIVES
Last Name:GUNN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:CAPRICE
Other - Last Name:HIVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:17050 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3221
Practice Address - Country:US
Practice Address - Phone:225-754-5117
Practice Address - Fax:225-754-5043
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1595103TC0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program