Provider Demographics
NPI:1639257199
Name:HUNTER, JOSEPH RANSDELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RANSDELL
Last Name:HUNTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 N WINNETKA AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-3753
Mailing Address - Country:US
Mailing Address - Phone:469-458-3226
Mailing Address - Fax:214-947-1873
Practice Address - Street 1:1001 N BISHOP AVE
Practice Address - Street 2:STE 8
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4112
Practice Address - Country:US
Practice Address - Phone:972-458-7180
Practice Address - Fax:972-458-7181
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2-4000OtherPSYCHOLOGY LICENSE
TX803OtherMARRIAGE AND FAMILY LICEN
TX034116601Medicaid
752371517OtherTIN
TX00J91PMedicare ID - Type Unspecified