Provider Demographics
NPI:1841400140
Name:DUNN, BRANSON EDWARD (DMIN)
Entity Type:Individual
Prefix:DR
First Name:BRANSON
Middle Name:EDWARD
Last Name:DUNN
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4523 ZANE PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-1330
Mailing Address - Country:US
Mailing Address - Phone:412-931-4357
Mailing Address - Fax:
Practice Address - Street 1:4523 ZANE PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15214-1330
Practice Address - Country:US
Practice Address - Phone:412-931-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000601A101YM0800X
PANA101YP1600X
IN34002526A1041C0700X
IN35000229A106H00000X
KY0126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist