Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH GUNNERSON
Deactivated Sole ProprietorKEITH GUNNERSON is a Counseling Psychologist healthcare provider located in STATESBORO, Georgia. NPI 1083047211 is deactivated in the NPPES registry. Verify at CMS.
Counseling Psychologist · STATESBORO, GA
This NPI has been deactivated.
The record was deactivated on September 14, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1083047211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2013 (9.0904109589041 yrs)
- Last Updated
- Jul 31, 2024
- Deactivated
- Sep 14, 2022
- License
-
PSY004627 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 RALEIGH CTSTATESBORO, GA, 304580160Browse GA providers · Browse ZIP 30458
- Phone
- 9122256920
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Other Counseling Psychologist Providers in STATESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| DR. FAYTH MARGARET PARKS | PH.D. | 1013049881 |
| DR. JODI KRISTEN CALDWELL | PH.D. | 1508515263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.