Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1801 | NC |
Y | 103TC0700X | Clinical Psychologist | 1801 | NC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1801 | NC |
NPI | 1023223807 |
---|---|
Provider Name | Dr. Susanne Ellen Dunn |
First Address | Chapel Hill, NC 27514-5838 |
Second Address | Chapel Hill, NC 27514-5838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 21/10/2021 |