Doctor Name: | MR. JOHN R HUNT |
NPI Number: | 1669460150 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC SLP |
License Number: | 2820 |
Business Practice Address: | 592 Center St Innovative Physician Services Llc Ludlow, MA - 010561461 |
Business Phone Number: | 4135470012 |
Business Fax Number: | 4135470034 |
Mailing Address: | Po Box 391, Innovative Physician Services Llc WILBRAHAM |
State: | MA |
Postal Code: | 010950391 |
Phone Number: | 5085950531 |
Fax Number: | 5088295367 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |