Provider Demographics
NPI:1962504712
Name:HUNTER, TERRAYC J (PSY D)
Entity Type:Individual
Prefix:DR
First Name:TERRAYC
Middle Name:J
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PSY D
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Mailing Address - Street 1:23052 ALICIA PKWY STE H-415
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1643
Mailing Address - Country:US
Mailing Address - Phone:949-305-3042
Mailing Address - Fax:949-305-3042
Practice Address - Street 1:33161 CAMINO CAPISTRANO STE K
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-4841
Practice Address - Country:US
Practice Address - Phone:949-254-1613
Practice Address - Fax:949-858-4523
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY17120103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical