Individual
DR. JOYCE VESTAL DUNFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7477
(574) 647-3655
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20040326A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225845
BCBS BMG E BLAIR WARNER
IN
01
—
000000493940
BCBS BMG CENTRAL
IN
05
—
100090800
—
IN
Enumeration date
10/10/2005
Last updated
03/08/2016
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