Emily Justine Dunn, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11169 Issued in FL

Practice address

1821 Business Park Blvd
Daytona Beach, FL 32114-1230

Phone

(386) 323-7500

NPI assigned

Oct 12, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1922760461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BUSINESS PARK BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BUSINESS PARK BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141230",
            "telephone_number": "386-323-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "EMILY",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Duncan
• Shanquell Doneisha Duncombe
• Anne I Dunham, MD
• Allyssa P Dunn
• Dave Austin Dunn, D.D.S.
• Luckey M Dunn, M.D.
• Lysa Dunston
• Savanna Hanh Duong, PA-C
• Rebecca Catherine Dupree, DO
• Uma Durairaj, ARNP

• Clinical Psychologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.