Organization
KEVIN P. MCDUNN, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PATRICK MCDUNN PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(248) 396-0938
Entity
Organization
Contact information
Practice address
605 W MADISON ST APT 2001, CHICAGO, IL 60661-2469
(248) 396-0938
Mailing address
605 W MADISON ST APT 2001, CHICAGO, IL 60661-2469
(248) 396-0938
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417515891
INDIVIDUAL NPI
IL
Enumeration date
10/21/2020
Last updated
10/21/2020
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