Provider Demographics
NPI:1194721910
Name:KUNA, DANIEL J (PHD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:KUNA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5577 AIRPORT HWY
Mailing Address - Street 2:STE 201
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-7364
Mailing Address - Country:US
Mailing Address - Phone:419-866-1212
Mailing Address - Fax:419-866-4023
Practice Address - Street 1:5577 AIRPORT HWY
Practice Address - Street 2:STE 201
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-7364
Practice Address - Country:US
Practice Address - Phone:419-866-1212
Practice Address - Fax:419-866-4023
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2060103TR0400X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00346835OtherRR MEDICARE
OH000000503820OtherANTHEM BC
OH211929OtherTRICARE CHAMPUS
OH0375295Medicaid
OH4062384OtherAETNA
OH000000503820OtherANTHEM BC
OHCP03003Medicare ID - Type Unspecified