Provider Demographics
NPI:1790886810
Name:HUNT, MARY ANN KANAPKA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:KANAPKA
Last Name:HUNT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 LAGRANDE BLVD
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-2388
Mailing Address - Country:US
Mailing Address - Phone:352-348-7425
Mailing Address - Fax:352-350-6389
Practice Address - Street 1:304 LAGRANDE BLVD
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-2388
Practice Address - Country:US
Practice Address - Phone:352-348-7425
Practice Address - Fax:352-350-6389
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005433103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59870Medicare UPIN
FL59870Medicare PIN