Provider Demographics
NPI:1528463296
Name:DUNVILLE, AMY (MA IN PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:DUNVILLE
Suffix:
Gender:F
Credentials:MA IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1563
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-1563
Mailing Address - Country:US
Mailing Address - Phone:907-769-1301
Mailing Address - Fax:
Practice Address - Street 1:234 4TH AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664-7530
Practice Address - Country:US
Practice Address - Phone:907-769-1301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health