Provider Demographics
NPI:1265857866
Name:MARTHA VON CONTA DUNN, PSY D, LLC
Entity Type:Organization
Organization Name:MARTHA VON CONTA DUNN, PSY D, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:VON CONTA
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:203-246-2129
Mailing Address - Street 1:943 POST RD E
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5362
Mailing Address - Country:US
Mailing Address - Phone:203-246-2129
Mailing Address - Fax:
Practice Address - Street 1:943 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5362
Practice Address - Country:US
Practice Address - Phone:203-246-2129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty