Individual
KELLY L HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1300 S UNIVERSITY DR STE 306, FORT WORTH, TX 76107-5746
(844) 824-8775
(281) 648-2200
Mailing address
12132 BELLA PALAZZO DR, FORT WORTH, TX 76126-2134
(817) 301-3621
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201651101
—
TX
01
—
87968A
BCBS
TX
01
—
P00998015
RAILROAD MEDICARE
TX
Enumeration date
10/31/2008
Last updated
03/05/2025
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