Provider Demographics
NPI:1295242709
Name:KUNDINGER, AMY (BA)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:KUNDINGER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:KUNDINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1823 BUSINESS PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-1230
Mailing Address - Country:US
Mailing Address - Phone:386-254-1931
Mailing Address - Fax:386-255-5818
Practice Address - Street 1:1823 BUSINESS PARK BLVD
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-1230
Practice Address - Country:US
Practice Address - Phone:386-254-1931
Practice Address - Fax:386-255-5818
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor