Provider Demographics
NPI:1851039127
Name:BRUCE, HUNTER KATHRYN (CF-SLP)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:KATHRYN
Last Name:BRUCE
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:HUNTER
Other - Middle Name:KATHRYN
Other - Last Name:GUFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 IVEY RD NW STE 1720
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-4101
Mailing Address - Country:US
Mailing Address - Phone:770-917-5737
Mailing Address - Fax:
Practice Address - Street 1:4900 IVEY RD NW STE 1720
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4101
Practice Address - Country:US
Practice Address - Phone:770-917-5737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET003535235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist