Healthcare Provider Details

I. General information

NPI: 1356579395
Provider Name (Legal Business Name): SARAH ELIZABETH BIONE-DUNN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 DESSA DR
HAMDEN CT
06517-2104
US

IV. Provider business mailing address

555 PAULARINO AVE APT H105
COSTA MESA CA
92626-3279
US

V. Phone/Fax

Practice location:
  • Phone: 404-386-8412
  • Fax:
Mailing address:
  • Phone: 404-386-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: