Provider Demographics
NPI:1982712949
Name:HUNT, SANDRA LINN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LINN
Last Name:HUNT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 WALTHAM CT
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6368
Mailing Address - Country:US
Mailing Address - Phone:917-270-3019
Mailing Address - Fax:
Practice Address - Street 1:40 EXCHANGE PL FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2789
Practice Address - Country:US
Practice Address - Phone:917-270-3019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015456103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02415929Medicaid
NYVSW581Medicare ID - Type UnspecifiedGROUP NUMBER
NYVM3741Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER