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DR. SHANE THOMAS HUNT ED.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1700912623

Individual Registrant:
DR. SHANE THOMAS HUNT ED.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
38201 W INDIAN SCHOOL RD  TONOPAH, AZ 85354-7301 US
Tel: 623-386-5688  Fax: 623-386-3364

Contact information for business:
19243 W LEWIS AVE  BUCKEYE, AZ 85396-5762 US
Tel: 623-853-1918  Fax: --

Registration Information:
NPI: 1700912623
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X103T00000XBehavioral Health & Social Service Providers
Psychologist
AZ3348
X103TC1900XBehavioral Health & Social Service Providers
Psychologist
AZ3348
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
AZ3348
X103TM1800XBehavioral Health & Social Service Providers
Psychologist
AZ3348
X103TS0200XBehavioral Health & Social Service Providers
Psychologist
AZ3348

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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