Provider Demographics
NPI:1295999530
Name:DUNN, PAUL H (LMSW)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:H
Last Name:DUNN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:PROF
Other - First Name:PAUL
Other - Middle Name:H
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:25 LEROY PL APT 513
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2867
Mailing Address - Country:US
Mailing Address - Phone:914-738-7810
Mailing Address - Fax:
Practice Address - Street 1:274 W 145TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-4122
Practice Address - Country:US
Practice Address - Phone:212-368-4100
Practice Address - Fax:212-281-5041
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072125104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker