Provider Demographics
NPI:1497426340
Name:DUNN PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:DUNN PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:559-574-3002
Mailing Address - Street 1:200 W BULLARD AVE STE A4
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-0857
Mailing Address - Country:US
Mailing Address - Phone:559-574-3002
Mailing Address - Fax:559-701-0332
Practice Address - Street 1:200 W BULLARD AVE STE A4
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0857
Practice Address - Country:US
Practice Address - Phone:559-574-3002
Practice Address - Fax:559-701-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)