MEDICARE: ANNONI HUNT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY 11200	CA

General Provider Information

NPI Number	:	1952522120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNONI HUNT INC

Provider Business Mailing Address
First Line	:	11 EL CERRITO AVE
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-1908
Country	:	US
Telephone Number	:	415-364-1616
Fax Number	:	415-457-1879

Provider Business Practice Location Address
First Line	:	1865 UNION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4307
Country	:	US
Telephone Number	:	415-364-1616
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD EYBER HUNT
Credential	:	PHD
Telephone Number	:	415-364-1616

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	08/22/2020

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