Individual
TINA DUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
355 CROSSGATES BLVD, BRANDON, MS 39042-2602
(601) 825-3192
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4303
MS
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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