DALLAS M HUNSBERGER MD
NPI 1033612551
Psychologist - Prescribing (Medical) in Mishawaka, IN
- Individual
- Female
- Psychologist
- Prescribing (Medical)
About DALLAS HUNSBERGER
This page provides the complete NPI Profile along with additional information for Dallas Hunsberger, a provider established in Mishawaka, Indiana with a medical specialization in Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1033612551 assigned on March 2018. The practitioner's primary taxonomy code is 103TP0016X with license number 2000570A (IN). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1033612551 Verify this NPI
- Provider Name
- DALLAS M HUNSBERGER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2118 MILBURN BLVD MISHAWAKA, IN 46544
- Location Phone
- (574) 339-5449
- Mailing Address
- 2118 MILBURN BLVD MISHAWAKA, IN 46544
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-11-2018
- Last Update Date
- 03-11-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2000570A
- License State
- IN
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033612551, enumerated as an "individual" on March 11, 2018.
The provider is located at 2118 MILBURN BLVD MISHAWAKA, IN 46544 and the phone number is (574) 339-5449.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).