Provider Demographics
NPI:1265581698
Name:HUNTER, DENNIS LOREN (MSW PHD)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:LOREN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MSW PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 E MORGAN TRAIL
Mailing Address - Street 2:SUITE #4
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1233
Mailing Address - Country:US
Mailing Address - Phone:480-607-7852
Mailing Address - Fax:480-607-7842
Practice Address - Street 1:8040 E MORGAN TRAIL
Practice Address - Street 2:SUITE #4
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1233
Practice Address - Country:US
Practice Address - Phone:480-607-7852
Practice Address - Fax:480-607-7842
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW101081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ769672Medicaid
AZ769672Medicaid