Provider Demographics
NPI:1780911891
Name:UNRUH, STEVEN DENNIS (MDIV, MFT)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DENNIS
Last Name:UNRUH
Suffix:
Gender:M
Credentials:MDIV, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E. WALNUT AVE.
Mailing Address - Street 2:# 225
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106
Mailing Address - Country:US
Mailing Address - Phone:626-568-3223
Mailing Address - Fax:626-568-0340
Practice Address - Street 1:1000 E WALNUT ST
Practice Address - Street 2:# 225
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1452
Practice Address - Country:US
Practice Address - Phone:626-568-3223
Practice Address - Fax:626-568-0340
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT25201106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist