Individual
DR. BENJAMIN DUNAGAN
Active
Individual
DR. BENJAMIN DUNAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2333
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021708
KAISER COMMERCIAL NUMBER
CO
05
—
66959772
—
CO
Enumeration date
08/12/2008
Last updated
01/31/2014
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