Provider Demographics
NPI:1821165184
Name:HUNT, ALEXIS E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:E
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 1:200 GREAT RD STE 254A
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-2718
Mailing Address - Country:US
Mailing Address - Phone:781-342-0545
Mailing Address - Fax:781-394-5878
Practice Address - Street 1:200 GREAT RD STE 254A
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-2718
Practice Address - Country:US
Practice Address - Phone:781-342-0545
Practice Address - Fax:781-394-5878
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23231103TC0700X
MA9705103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical