Provider Demographics
NPI:1669669347
Name:USSIN-HUNTER, ANNIE ROSE (MSCFYSLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:ROSE
Last Name:USSIN-HUNTER
Suffix:
Gender:F
Credentials:MSCFYSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 SOUTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7963
Mailing Address - Country:US
Mailing Address - Phone:480-510-5210
Mailing Address - Fax:
Practice Address - Street 1:50 27TH ST W STE A
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-8602
Practice Address - Country:US
Practice Address - Phone:406-259-1680
Practice Address - Fax:406-259-1777
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1165235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist