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Timothy Gunn

Psychologist

Behavioral Health & Social Service Providers

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

PECOS Enrollment

Based on the most recent information from CMS, provider Timothy Gunn is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1356466973
Provider Type
Individual
Full Name
Gunn, Timothy
Title
Dr.
Credential
PSY.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/20/2007
Last Updated
7/19/2023

Contact Information

Practice Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

(909) 989-4055

(909) 989-8005

Mailing Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

(909) 989-4055

(909) 989-8005

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY23190 California

Timothy Gunn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Goffman, Jerry M

Lockhart-Pettaway, Stefanie

Shum, Emily Wear

Wysocki, Steve Robert

Gunn Psychological Services, Inc.

Inland Pacific Psychological Services

Lupien, Charyeea Na'Chelle

Chung, Daniel

Adhami, Sepideh

Lai, Pean