Provider Demographics
NPI:1033990858
Name:HUNTER, CALEB SA (SLP INTERN, SLP-CFY)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:SA
Last Name:HUNTER
Suffix:
Gender:M
Credentials:SLP INTERN, SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 AIRPORT FWY STE A
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111-2378
Mailing Address - Country:US
Mailing Address - Phone:682-553-7282
Mailing Address - Fax:
Practice Address - Street 1:2701 AIRPORT FWY STE A
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-2378
Practice Address - Country:US
Practice Address - Phone:682-553-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121843235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist