Ethan Gunn, LMFT is a
Marriage & Family Therapist based in Hyde Park, Utah. Ethan Gunn is licensed to practice in Utah (license number 12904125-3902) and his current practice location is
338 W 300 N, Hyde Park, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 760-5692.
NPI number for Ethan Gunn is 1316836182 and his current mailing address is 139 S 400 E, Hyde Park, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316836182.
Healthcare Provider's Profile
Full Name | Ethan Gunn |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 338 W 300 N, Hyde Park, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316836182
- Provider Enumeration Date: 06/28/2025
- Last Update Date: 06/28/2025
Medical Identifiers
Medical identifiers for Ethan Gunn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316836182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 12904125-3902 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Gunn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ethan Gunn, LMFT 139 S 400 E, Hyde Park, UT 84318-3543 Ph: (435) 760-5692 | Ethan Gunn, LMFT 338 W 300 N, Hyde Park, UT 84318-4044 Ph: (435) 760-5692 |
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