Doctor Name: | MS. MARIAN DUNAWAY |
NPI Number: | 1477720175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CC 1003 |
Business Practice Address: | 6711 N 58th Pl Paradise Valley, AZ - 852533407 |
Business Phone Number: | 6028101369 |
Business Fax Number: | |
Mailing Address: | 6711 N 58th Pl, PARADISE VALLEY |
State: | AZ |
Postal Code: | 852533407 |
Phone Number: | 6028101369 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | CC 1003 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |