Provider Demographics
NPI:1306005491
Name:MCDUNN, CHRISTINE CATHERINE (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CATHERINE
Last Name:MCDUNN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 S BELLAIRE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4331
Mailing Address - Country:US
Mailing Address - Phone:720-252-8644
Mailing Address - Fax:
Practice Address - Street 1:1720 S BELLAIRE ST STE 203
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4331
Practice Address - Country:US
Practice Address - Phone:720-252-8644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC2200X
CO3508103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent