MEDICARE: TINA KUNARSKI

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1891064218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA KUNARSKI

Provider Business Mailing Address
First Line	:	51920 VAN DYKE AVE
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4453
Country	:	US
Telephone Number	:	586-206-3052
Fax Number	:

Provider Business Practice Location Address
First Line	:	51920 VAN DYKE AVE
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4453
Country	:	US
Telephone Number	:	586-206-3052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2011
Last Update Date	:	05/13/2019

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Directions to “ TINA KUNARSKI ” Practice Location

Language	Start Address	Practice Location

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