Healthcare Provider Details

I. General information

NPI: 1396102745
Provider Name (Legal Business Name): JOSEPH WAYNE DUNN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2016
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36101 BOB HOPE DR STE A
RANCHO MIRAGE CA
92270-2001
US

IV. Provider business mailing address

36101 BOB HOPE DR STE A
RANCHO MIRAGE CA
92270-2001
US

V. Phone/Fax

Practice location:
  • Phone: 760-321-1315
  • Fax: 760-321-1094
Mailing address:
  • Phone: 760-321-1315
  • Fax: 760-321-1094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY7693
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: