Provider Demographics
NPI:1972824944
Name:HUNTER, RHIANNON P (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:
First Name:RHIANNON
Middle Name:P
Last Name:HUNTER
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 4732
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602
Mailing Address - Country:US
Mailing Address - Phone:423-202-2660
Mailing Address - Fax:423-373-1268
Practice Address - Street 1:203 CRESTWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601
Practice Address - Country:US
Practice Address - Phone:423-202-2660
Practice Address - Fax:423-373-1268
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-14
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist