Individual
DR. MARIANNE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2894 THORNAPPLE RIVER DR SE, GRAND RAPIDS, MI 49546-6857
(616) 285-6080
Mailing address
4467 CASCADE RD SE STE 4469, GRAND RAPIDS, MI 49546-3776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D146140
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/20/2007
Last updated
09/17/2021
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