Doctor Name: | KIM A HUNTER |
NPI Number: | 1457385858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | 051406R |
Business Practice Address: | 3780 Main St Stone Ridge, NY - 124845603 |
Business Phone Number: | 8456873424 |
Business Fax Number: | 8456873493 |
Mailing Address: | Po Box 857, STONE RIDGE |
State: | NY |
Postal Code: | 124840857 |
Phone Number: | 8456873424 |
Fax Number: | 8456873493 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 051406R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |