Provider Demographics
NPI:1790039238
Name:DUNLOP, ADELLE
Entity Type:Individual
Prefix:MRS
First Name:ADELLE
Middle Name:
Last Name:DUNLOP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 SEABREEZE CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-6429
Mailing Address - Country:US
Mailing Address - Phone:561-215-8386
Mailing Address - Fax:
Practice Address - Street 1:151 SEABREEZE CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-6429
Practice Address - Country:US
Practice Address - Phone:561-215-8386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist