Healthcare Provider Details

I. General information

NPI: 1649103656
Provider Name (Legal Business Name): MAKENNA DUNYON M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2066 W FALMOUTH AVE
ANAHEIM CA
92801-1751
US

IV. Provider business mailing address

3722 RADNOR AVE
LONG BEACH CA
90808-2121
US

V. Phone/Fax

Practice location:
  • Phone: 714-517-8941
  • Fax:
Mailing address:
  • Phone: 951-206-0531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP32085
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: