Provider Demographics
NPI:1356363865
Name:HUNT, THOMAS JOSEPH (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:HUNT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8335 WILD CHERRY COURT
Mailing Address - Street 2:
Mailing Address - City:ROCKY GORGE
Mailing Address - State:MD
Mailing Address - Zip Code:20723
Mailing Address - Country:US
Mailing Address - Phone:410-792-7173
Mailing Address - Fax:
Practice Address - Street 1:8335 WILD CHERRY COURT
Practice Address - Street 2:
Practice Address - City:ROCKY GORGE
Practice Address - State:MD
Practice Address - Zip Code:20723
Practice Address - Country:US
Practice Address - Phone:410-792-7173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1177103T00000X
DC1036103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE680007779OtherRR MEDICARE S
DCG3960004OtherBCBS DC
MDP00238897OtherRR MEDICARE M
610053OtherEVERCARE
MDG313TJHOtherBCBS MD
MD812436100Medicaid
MD812436100Medicaid
DCG3960004OtherBCBS DC
MDKN18836RMedicare PIN
DC008865C24Medicare PIN