Healthcare Provider Details

I. General information

NPI: 1679414981
Provider Name (Legal Business Name): VICTORIA GUNN ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11083 HAMILTON AVE
CINCINNATI OH
45231-1409
US

IV. Provider business mailing address

8936 MICHELLE PT
WEST CHESTER OH
45069-4083
US

V. Phone/Fax

Practice location:
  • Phone: 513-674-4200
  • Fax:
Mailing address:
  • Phone: 513-907-8233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP00356
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: