Provider Demographics
NPI:1679861074
Name:HUNTER, DORIAN ALAINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DORIAN
Middle Name:ALAINE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:DORIAN
Other - Middle Name:HUNTER
Other - Last Name:REEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:5219 N SHIRLEY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98407-6599
Mailing Address - Country:US
Mailing Address - Phone:206-664-1024
Mailing Address - Fax:
Practice Address - Street 1:5219 N SHIRLEY ST STE 100
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:WA
Practice Address - Zip Code:98407-6599
Practice Address - Country:US
Practice Address - Phone:206-664-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANOT YET LICENSED103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical