Provider Demographics
NPI:1235512039
Name:DUNWOODY, SUE (MA)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:DUNWOODY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:VOLCANO
Mailing Address - State:HI
Mailing Address - Zip Code:96785-0451
Mailing Address - Country:US
Mailing Address - Phone:808-783-7345
Mailing Address - Fax:
Practice Address - Street 1:234 WAIANUENUE AVENUE SUITE 215
Practice Address - Street 2:HAWAII BEHAVIORAL HEALTH
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-935-6109
Practice Address - Fax:808-934-8318
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor