Provider Demographics
NPI:1518008119
Name:DUNLAP-SPEED, MONIQUE PAULANI (CAS)
Entity Type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:PAULANI
Last Name:DUNLAP-SPEED
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8915 DEBRA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4103
Mailing Address - Country:US
Mailing Address - Phone:805-279-2892
Mailing Address - Fax:805-981-9064
Practice Address - Street 1:8915 DEBRA AVE
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-4103
Practice Address - Country:US
Practice Address - Phone:805-279-2892
Practice Address - Fax:805-981-9064
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner