Provider Demographics
NPI:1124197918
Name:DUNNE, BARBARA ANNE (EDD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:DUNNE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 STEIGER RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-1330
Mailing Address - Country:US
Mailing Address - Phone:413-374-8224
Mailing Address - Fax:413-315-3922
Practice Address - Street 1:1242 MAIN ST
Practice Address - Street 2:SUITE 212
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1915
Practice Address - Country:US
Practice Address - Phone:413-315-3154
Practice Address - Fax:413-315-3922
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT002813OtherCONNECTICUT STATE LICENSE
MA8844OtherMA PSYCHOLOGY LICENSE
NY02920230Medicaid
NY017292OtherNEW YORK STATE LICENSE
MA8844OtherMA PSYCHOLOGY LICENSE