Healthcare Provider Details

I. General information

NPI: 1417428137
Provider Name (Legal Business Name): ALLISON GUENTHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 BENEDICT AVE
NORWALK OH
44857-2374
US

IV. Provider business mailing address

1925 HAYES AVE
SANDUSKY OH
44870-4737
US

V. Phone/Fax

Practice location:
  • Phone: 419-663-3737
  • Fax:
Mailing address:
  • Phone: 419-557-5177
  • Fax: 419-557-5179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1803144
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: