Provider Demographics
NPI:1205494762
Name:GUNN, CAREY L
Entity type:Individual
Prefix:MISS
First Name:CAREY
Middle Name:L
Last Name:GUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 SHOSHONE PL
Mailing Address - Street 2:
Mailing Address - City:MANITOU SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80829-2038
Mailing Address - Country:US
Mailing Address - Phone:228-257-1365
Mailing Address - Fax:
Practice Address - Street 1:813 SHOSHONE PL
Practice Address - Street 2:
Practice Address - City:MANITOU SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80829-2038
Practice Address - Country:US
Practice Address - Phone:228-257-1365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist