Provider Demographics
NPI:1497122014
Name:HUNT, EDWARD PATRICK (LMFT)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:PATRICK
Last Name:HUNT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 OVERLAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-3346
Mailing Address - Country:US
Mailing Address - Phone:310-477-7750
Mailing Address - Fax:
Practice Address - Street 1:2550 OVERLAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-3346
Practice Address - Country:US
Practice Address - Phone:310-477-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC53544106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist