Provider Demographics
NPI:1134435399
Name:HUNTER, PAMELA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:CASPER-HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1015 S BLACKHOOF ST
Mailing Address - Street 2:WAPAKONETA
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-2280
Mailing Address - Country:US
Mailing Address - Phone:419-376-1623
Mailing Address - Fax:
Practice Address - Street 1:106 JACOBS DR
Practice Address - Street 2:WAPAKONETA
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-1325
Practice Address - Country:US
Practice Address - Phone:419-376-1623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP. 8436235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist