Provider Demographics
NPI:1336310762
Name:DUNN-MURAD, IANTHE E (SCD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:IANTHE
Middle Name:E
Last Name:DUNN-MURAD
Suffix:
Gender:F
Credentials:SCD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26003 PEMBROKE AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1043
Mailing Address - Country:US
Mailing Address - Phone:516-482-3952
Mailing Address - Fax:
Practice Address - Street 1:26003 PEMBROKE AVE
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1043
Practice Address - Country:US
Practice Address - Phone:516-482-3952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001698231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist