Provider Demographics
NPI:1538117296
Name:DUNNING, CLIFFORD ROBERT (PHD)
Entity Type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:ROBERT
Last Name:DUNNING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 ARBOR VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1411
Mailing Address - Country:US
Mailing Address - Phone:301-933-2755
Mailing Address - Fax:703-241-0707
Practice Address - Street 1:8901 WISCONSIN AVENUE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-0500
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM091101YP2500X
MDLC0443101YP2500X
VA0717000761101YP2500X
VA0701000470101YP2500X
DCPRC111101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional