Provider Demographics
NPI:1740599125
Name:HUNTER, COLLEEN C (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:C
Last Name:HUNTER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 E. 101ST STREET
Mailing Address - Street 2:CLEVELAND SIGHT CENTER
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-791-8118
Mailing Address - Fax:216-791-1107
Practice Address - Street 1:1909 E. 101ST STREET
Practice Address - Street 2:CLEVELAND SIGHT CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-791-8118
Practice Address - Fax:216-791-1107
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SP 8263235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist