Provider Demographics
NPI:1861797250
Name:DUNN, ROBERT KILPATRICK (PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:KILPATRICK
Last Name:DUNN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KONINGSLAAN 61
Mailing Address - Street 2:
Mailing Address - City:UTRECHT
Mailing Address - State:UTRECHT
Mailing Address - Zip Code:3533HB
Mailing Address - Country:NL
Mailing Address - Phone:3130-294-4083
Mailing Address - Fax:
Practice Address - Street 1:KONINGSLAAN 61
Practice Address - Street 2:
Practice Address - City:UTRECHT
Practice Address - State:UTRECHT
Practice Address - Zip Code:3533HB
Practice Address - Country:NL
Practice Address - Phone:3130-294-4083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 008189103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical