Provider Demographics
NPI:1538215991
Name:TUNELL, DIANA GAYLE
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:GAYLE
Last Name:TUNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 S AVENUE 7 1/2 E
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-8603
Mailing Address - Country:US
Mailing Address - Phone:928-341-9700
Mailing Address - Fax:928-341-9800
Practice Address - Street 1:2350 S AVENUE 7 1/2 E
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-8603
Practice Address - Country:US
Practice Address - Phone:928-341-9700
Practice Address - Fax:928-341-9800
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool