Provider Demographics
NPI:1669013009
Name:HUNT, DEATRA LAVONNE
Entity Type:Individual
Prefix:
First Name:DEATRA
Middle Name:LAVONNE
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 BAIRD ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1804
Mailing Address - Country:US
Mailing Address - Phone:330-808-8031
Mailing Address - Fax:
Practice Address - Street 1:553 BAIRD ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1804
Practice Address - Country:US
Practice Address - Phone:330-808-8031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator