Provider Demographics
NPI:1780961177
Name:HUNTER, GRAHAM ALEXANDER (PHD)
Entity type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:ALEXANDER
Last Name:HUNTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 S SHARON AMITY RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2836
Mailing Address - Country:US
Mailing Address - Phone:704-900-9143
Mailing Address - Fax:704-364-6267
Practice Address - Street 1:447 S SHARON AMITY RD
Practice Address - Street 2:SUITE 140
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2836
Practice Address - Country:US
Practice Address - Phone:704-900-9143
Practice Address - Fax:704-364-6267
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4178103G00000X
103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling