Provider Demographics
NPI:1689912271
Name:DUNN, CATHERINE FAY (RD)
Entity Type:Individual
Prefix:MR
First Name:CATHERINE
Middle Name:FAY
Last Name:DUNN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 UNDERHILL DR
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-2462
Mailing Address - Country:US
Mailing Address - Phone:925-989-6255
Mailing Address - Fax:
Practice Address - Street 1:940 UNDERHILL DR
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-2462
Practice Address - Country:US
Practice Address - Phone:925-989-6255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA719057133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered