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Individual

EDWARD DUNBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D

Contact information

Practice address
877 N DOUGLAS ST, EL SEGUNDO, CA 90245-2801
(310) 536-0211
(310) 536-0215
Mailing address
877 N DOUGLAS ST, EL SEGUNDO, CA 90245-2801
(310) 536-0211
(310) 536-0215

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12304
CA
103TF0200X
Forensic Psychologist
PSY12304
CA
103TR0400X
Rehabilitation Psychologist
PSY12304
CA

Other

Enumeration date
12/01/2006
Last updated
11/27/2012
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