Provider Demographics
NPI:1215600085
Name:GUNNISON, BRITTANY FRIEDRICH (PSYD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:FRIEDRICH
Last Name:GUNNISON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 OAK RD APT 110
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2827
Mailing Address - Country:US
Mailing Address - Phone:408-497-2415
Mailing Address - Fax:
Practice Address - Street 1:465 34TH ST STE 5
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2815
Practice Address - Country:US
Practice Address - Phone:408-497-2415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30758103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical