| Doctor Name: | DENNIS KENT UNRUH |
| NPI Number: | 1003033721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PSY 5690 |
| Business Practice Address: | 14277 Road 28 Madera, CA - 936385715 |
| Business Phone Number: | 5596733508 |
| Business Fax Number: | 5596612818 |
| Mailing Address: | 6632 N Marty Ave, FRESNO |
| State: | CA |
| Postal Code: | 937110823 |
| Phone Number: | 5594391870 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 5690 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |