Provider Demographics
NPI:1063797686
Name:DUNKIN, BRIA A (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRIA
Middle Name:A
Last Name:DUNKIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3972 US HIGHWAY 93 N STE G
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-6469
Mailing Address - Country:US
Mailing Address - Phone:406-200-9079
Mailing Address - Fax:406-641-3530
Practice Address - Street 1:3972 US HIGHWAY 93 N STE G
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-6469
Practice Address - Country:US
Practice Address - Phone:406-200-9079
Practice Address - Fax:406-641-3530
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY1285103G00000X, 103TC0700X
MT2977103TC2200X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent