Hunt, Connie Marie
Hunt, Connie Marie is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hunt, Connie Marie can be contacted via phone (602) 263-1200.Contact Information
Primary practice address
4212 N 16Th St
Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1631
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1116 | Oregon |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 4622 |
Profile Details
NPI number | 1023216645 |
---|---|
LBN Legal business name | Hunt, Connie Marie |
Credentials | PH.D., DAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2007 |
Last updated | May 14th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023216645 | NPPES |
Oregon | MEDICAID | 273855 |
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