Provider Demographics
NPI:1518149061
Name:DUNBAR STRATEGIC CONSULTING GROUP
Entity Type:Organization
Organization Name:DUNBAR STRATEGIC CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:267-679-2215
Mailing Address - Street 1:4232 PARKSIDE AVENUE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-1021
Mailing Address - Country:US
Mailing Address - Phone:267-679-2215
Mailing Address - Fax:215-860-5103
Practice Address - Street 1:4232 PARKSIDE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-1021
Practice Address - Country:US
Practice Address - Phone:267-679-2215
Practice Address - Fax:215-860-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA015203103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty