Provider Demographics
NPI:1528192069
Name:HUNTER, RONALDO ANTONIO JR
Entity Type:Individual
Prefix:
First Name:RONALDO
Middle Name:ANTONIO
Last Name:HUNTER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:492 DEVONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-4015
Mailing Address - Country:US
Mailing Address - Phone:626-797-0487
Mailing Address - Fax:
Practice Address - Street 1:325 S OAK KNOLL AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3418
Practice Address - Country:US
Practice Address - Phone:626-795-2514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health