Provider Demographics
NPI:1750041174
Name:HUNT, AMELIA KATHERINE (HIS)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:KATHERINE
Last Name:HUNT
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 KING ST STE 108
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6262
Mailing Address - Country:US
Mailing Address - Phone:360-676-9771
Mailing Address - Fax:360-676-5313
Practice Address - Street 1:1400 KING ST STE 108
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6262
Practice Address - Country:US
Practice Address - Phone:360-676-9771
Practice Address - Fax:360-676-5313
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61208035237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist