Provider Demographics
NPI:1558373902
Name:HUNTER, DOROTHY DARLINE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:DARLINE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:DR
Other - First Name:DARLINE
Other - Middle Name:
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:18607 UPPER BAY RD
Mailing Address - Street 2:
Mailing Address - City:NASSAU BAY
Mailing Address - State:TX
Mailing Address - Zip Code:77058-4231
Mailing Address - Country:US
Mailing Address - Phone:713-515-4004
Mailing Address - Fax:
Practice Address - Street 1:18607 UPPER BAY RD
Practice Address - Street 2:
Practice Address - City:NASSAU BAY
Practice Address - State:TX
Practice Address - Zip Code:77058-4231
Practice Address - Country:US
Practice Address - Phone:713-515-4004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22474103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T57YOtherBLUE CROSS BLUE SHIELD
TX88257AOtherBCBS TX
TX10020437Medicaid
TXTXB131169Medicare PIN