Individual
CONNIE MARIE HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., DAC
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1631
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0001
(602) 263-1200
(602) 263-1631
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1116
OR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4622
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273855
—
OR
Enumeration date
07/05/2007
Last updated
05/14/2008
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