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NPI Code Detail

MEDICARE: DR. JOSEPH WAYNE DUNN PH.D.

MEDICARE:  DR. JOSEPH WAYNE DUNN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY7693CA

General Provider Information

NPI Number : 1396102745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH WAYNE DUNN PH.D.
Provider Business Mailing Address
First Line : 2444 S CALLE PALO FIERRO
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-9412
Country : US
Telephone Number : 760-318-1223
Fax Number : 760-318-1074
Provider Business Practice Location Address
First Line : 69175 RAMON RD STE A
Second Line :
City : CATHEDRAL CITY
State : CA
Zip : 92234-3344
Country : US
Telephone Number : 760-808-6970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2016
Last Update Date : 03/04/2026

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