Healthcare Provider Details

I. General information

NPI: 1043324437
Provider Name (Legal Business Name): GAIL GUNTER HUNT L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 03/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 OVERLOOK TER
MADISON WI
53705-2254
US

IV. Provider business mailing address

2500 OVERLOOK TER
MADISON WI
53705-2254
US

V. Phone/Fax

Practice location:
  • Phone: 608-256-1901
  • Fax: 608-280-7291
Mailing address:
  • Phone: 608-280-7000
  • Fax: 608-280-7291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2234-1231
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: