Provider Demographics
NPI:1396391975
Name:DUNN, PAUL GERARD
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:GERARD
Last Name:DUNN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CAMBRIDGE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1573
Mailing Address - Country:US
Mailing Address - Phone:650-814-3323
Mailing Address - Fax:650-321-3460
Practice Address - Street 1:350 CAMBRIDGE AVE STE 200
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1573
Practice Address - Country:US
Practice Address - Phone:650-814-3323
Practice Address - Fax:650-321-3460
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical