Provider Demographics
NPI:1659193084
Name:DUNDES, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:DUNDES
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 1:202 BEAVER ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1230
Mailing Address - Country:US
Mailing Address - Phone:888-200-9746
Mailing Address - Fax:
Practice Address - Street 1:202 BEAVER ST FL 3
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1230
Practice Address - Country:US
Practice Address - Phone:888-200-9746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health