Provider Demographics
NPI:1215086327
Name:DUNN, KRISTI M (PHD)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:M
Last Name:DUNN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:KRISTI
Other - Middle Name:ANN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:409 NORTH CAMDEN DRIVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4422
Mailing Address - Country:US
Mailing Address - Phone:310-281-9725
Mailing Address - Fax:310-274-1476
Practice Address - Street 1:409 NORTH CAMDEN DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4422
Practice Address - Country:US
Practice Address - Phone:310-281-9725
Practice Address - Fax:310-274-1476
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10591103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist