Basic Information
| Provider Information | |||||||||
| NPI: | 1073032538 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUNLEVY | ||||||||
| FirstName: | DEVIN | ||||||||
| MiddleName: | KENDAL | ||||||||
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| Credential: | ASW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 507 VALLEY WAY | ||||||||
| Address2: | |||||||||
| City: | MILPITAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950354105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4085392100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2000 MONTEREY HWY | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951126002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4082942100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2017 | ||||||||
| LastUpdateDate: | 05/26/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.