Provider Demographics
NPI:1023301959
Name:HUNT, ANDREA BREECH (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:BREECH
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 1:2202 WRIGHTSVILLE AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3052
Mailing Address - Country:US
Mailing Address - Phone:717-802-1380
Mailing Address - Fax:910-833-8371
Practice Address - Street 1:2202 WRIGHTSVILLE AVE STE 211
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3052
Practice Address - Country:US
Practice Address - Phone:717-802-1380
Practice Address - Fax:910-833-8371
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017005103T00000X
NC4906103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist