Provider Demographics
NPI:1528774569
Name:GUNTI, HANNAH (LCGC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:GUNTI
Suffix:
Gender:F
Credentials:LCGC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:SIGURDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4007 TUXEDO AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1147
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4007 TUXEDO AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1147
Practice Address - Country:US
Practice Address - Phone:541-212-6923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70.000501170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS