Healthcare Provider Details

I. General information

NPI: 1689581886
Provider Name (Legal Business Name): WALTER ARDEN DUNN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 ROUTE 390
CRESCO PA
18326-7908
US

IV. Provider business mailing address

1441 LAKE ARIEL HWY
LAKE ARIEL PA
18436-4204
US

V. Phone/Fax

Practice location:
  • Phone: 570-269-8812
  • Fax:
Mailing address:
  • Phone: 570-269-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: WALTER A DUNN
Title or Position: OWNER/PROVIDER
Credential: LCSW
Phone: 570-269-8812