Provider Demographics
NPI:1225150485
Name:DUNNIGAN, NOREEN P (MS)
Entity Type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:P
Last Name:DUNNIGAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:NOREEN
Other - Middle Name:P
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939
Mailing Address - Country:US
Mailing Address - Phone:415-924-6336
Mailing Address - Fax:415-924-1818
Practice Address - Street 1:200 TAMAL PLAZA
Practice Address - Street 2:STE 135
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925
Practice Address - Country:US
Practice Address - Phone:415-924-6336
Practice Address - Fax:415-924-1818
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24879106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist