Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY8950 | FL |
NPI | 1063733467 |
---|---|
Provider Name | Dr. Madeleine J Dunn |
First Address | Jacksonville, FL 32257-8858 |
Second Address | Jacksonville, FL 32257-8858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2010 |
Last Update Date | 11/05/2015 |