Basic Information
| Provider Information | |||||||||
| NPI: | 1255494282 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUNIVIN | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 WRAMC RM 3086 | ||||||||
| Address2: | 6900 GEORGIA AVE, NW | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203070001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027820065 | ||||||||
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| Practice Location | |||||||||
| Address1: | WRAMC, BLDG 6, DEPT OF PSYCHOLOGY | ||||||||
| Address2: | 6900 GEORGIA AVE, NW | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027820065 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PSY-308 | HI | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.