Provider Demographics
NPI:1265467732
Name:DUNNEWOLD, ANN LESLIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:LESLIE
Last Name:DUNNEWOLD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8140 WALNUT HILL LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4350
Mailing Address - Country:US
Mailing Address - Phone:214-343-1353
Mailing Address - Fax:214-221-7188
Practice Address - Street 1:8140 WALNUT HILL LN
Practice Address - Street 2:SUITE 203
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4350
Practice Address - Country:US
Practice Address - Phone:214-343-1353
Practice Address - Fax:214-221-7188
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22544103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical