Provider Demographics
NPI:1538646922
Name:TALUSAN-DUNN, ROWENA (PHD ATR LCAT)
Entity Type:Individual
Prefix:DR
First Name:ROWENA
Middle Name:
Last Name:TALUSAN-DUNN
Suffix:
Gender:F
Credentials:PHD ATR LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FLEETWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-6574
Mailing Address - Country:US
Mailing Address - Phone:646-373-1012
Mailing Address - Fax:
Practice Address - Street 1:75 COOLEY ST
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2933
Practice Address - Country:US
Practice Address - Phone:646-846-1609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000350221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist