Provider Demographics
NPI:1215395207
Name:HUNT, TROY ALLEN (PHD, MBA, CPSS)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:ALLEN
Last Name:HUNT
Suffix:
Gender:M
Credentials:PHD, MBA, CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 GLENLEA COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-9519
Mailing Address - Country:US
Mailing Address - Phone:704-222-0633
Mailing Address - Fax:
Practice Address - Street 1:4224 GLENLEA COMMONS DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-9519
Practice Address - Country:US
Practice Address - Phone:704-222-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCV2015-1284-01175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist