Provider Demographics
NPI:1619241858
Name:DUNN, ADRIANA B (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:B
Last Name:DUNN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:BALAGUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2437
Mailing Address - Country:US
Mailing Address - Phone:908-598-1845
Mailing Address - Fax:
Practice Address - Street 1:37 KINGS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2500
Practice Address - Country:US
Practice Address - Phone:973-377-7705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00428800103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical