Provider Demographics
NPI:1033692348
Name:HUNTER, HATTIE YVONNE
Entity Type:Individual
Prefix:
First Name:HATTIE
Middle Name:YVONNE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 JOAN PL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-6463
Mailing Address - Country:US
Mailing Address - Phone:317-331-6045
Mailing Address - Fax:
Practice Address - Street 1:3508 JOAN PL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-6463
Practice Address - Country:US
Practice Address - Phone:317-331-6045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health