Healthcare Provider Details

I. General information

NPI: 1083979769
Provider Name (Legal Business Name): CAROL ANN FIUNK PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 07/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SUNSET CT
DAYTON NJ
08810-1622
US

IV. Provider business mailing address

8 SUNSET CT
DAYTON NJ
08810-1622
US

V. Phone/Fax

Practice location:
  • Phone: 732-230-3480
  • Fax: 732-230-3480
Mailing address:
  • Phone: 732-230-3480
  • Fax: 732-230-3480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1739
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: