Individual
CANDICE JOI HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 322-5747
(219) 864-2282
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2251
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01065064A
IN
2084P0800X
Psychiatry Physician
165709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200910620
—
IN
Enumeration date
08/18/2007
Last updated
03/11/2020
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