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NPI Code Detail

MEDICARE: MRS. CODY ANN TUNNEY

MEDICARE: MRS. CODY ANN TUNNEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TP0814XPsychoanalysis PsychologistUT

General Provider Information

NPI Number : 1841165768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CODY ANN TUNNEY
Provider Business Mailing Address
First Line : 4471 WILLOW CREEK DR
Second Line :
City : PARK CITY
State : UT
Zip : 84098-6573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4568 S HIGHLAND DR STE 380
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4213
Country : US
Telephone Number : 385-272-8906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2025
Last Update Date : 10/09/2025

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Directions to “ MRS. CODY ANN TUNNEY ” Practice Location

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