| Dunahoo Psychological Associates, Llc | |
|
540 Riverside Dr Suite 7 Salisbury MD 21801-5352 | |
| (410) 219-3555 | |
| (410) 219-2666 |
| Full Name | Dunahoo Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 540 Riverside Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Carla L. Dunahoo (OWNER) |
| Authorized Official Contact | 4102193555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dunahoo Psychological Associates, Llc 540 Riverside Dr Suite 7 Salisbury MD 21801-5352 Ph: (410) 219-3555 | Dunahoo Psychological Associates, Llc 540 Riverside Dr Suite 7 Salisbury MD 21801-5352 Ph: (410) 219-3555 |
| NPI Number | 1154674562 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Medicare PECOS PAC ID | 2062663230 |
|---|---|
| Medicare Enrollment ID | O20121116000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154674562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 03967 (Maryland) | Primary |
| Provider Name | Carla Lynn Dunahoo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841246287 PECOS PAC ID: 3274582838 Enrollment ID: I20050208000149 |
| Provider Name | Craig Edward Wisner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902071798 PECOS PAC ID: 1052647047 Enrollment ID: I20190730000140 |
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