Provider Demographics
NPI:1144211335
Name:HUNTER, ROBERT J (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:HUNTER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2212
Mailing Address - Country:US
Mailing Address - Phone:360-696-0497
Mailing Address - Fax:360-696-3120
Practice Address - Street 1:302 E 37TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2212
Practice Address - Country:US
Practice Address - Phone:360-696-0497
Practice Address - Fax:360-696-3120
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001377103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA005584OtherLABOR & INDUSTRIES