Provider Demographics
NPI:1669846432
Name:DUNHAM, EVA HARPER
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:HARPER
Last Name:DUNHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:ANN
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-0005
Mailing Address - Country:US
Mailing Address - Phone:530-749-6306
Mailing Address - Fax:530-740-4928
Practice Address - Street 1:915 8TH ST
Practice Address - Street 2:SUITE 129
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5273
Practice Address - Country:US
Practice Address - Phone:530-749-6306
Practice Address - Fax:530-740-4928
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker