Provider Demographics
NPI:1346027844
Name:DUNSON, TAMLA R
Entity Type:Individual
Prefix:
First Name:TAMLA
Middle Name:R
Last Name:DUNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 TOWER RD
Mailing Address - Street 2:
Mailing Address - City:NORLINA
Mailing Address - State:NC
Mailing Address - Zip Code:27563-9690
Mailing Address - Country:US
Mailing Address - Phone:252-432-6125
Mailing Address - Fax:
Practice Address - Street 1:3790 GUESS RD STE 102
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6916
Practice Address - Country:US
Practice Address - Phone:984-244-8642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician