Provider Demographics
NPI:1124239280
Name:DUNN, RICHARD GUY (PHD, MFT)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:GUY
Last Name:DUNN
Suffix:
Gender:M
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 S BEVERLY DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4315
Mailing Address - Country:US
Mailing Address - Phone:310-557-1265
Mailing Address - Fax:818-508-1261
Practice Address - Street 1:337 S BEVERLY DR
Practice Address - Street 2:SUITE 205
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4315
Practice Address - Country:US
Practice Address - Phone:310-557-1265
Practice Address - Fax:818-508-1261
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13227106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist