Provider Demographics
NPI:1356652853
Name:DUNN, PATRICIA E (MA, MFT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:DUNN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:E
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:1441 VETERAN AVE
Mailing Address - Street 2:#425
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4879
Mailing Address - Country:US
Mailing Address - Phone:310-268-1086
Mailing Address - Fax:
Practice Address - Street 1:1441 VETERAN AVE
Practice Address - Street 2:#425
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4879
Practice Address - Country:US
Practice Address - Phone:310-268-1086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMQ17291106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist