Healthcare Provider Details

I. General information

NPI: 1629441845
Provider Name (Legal Business Name): EVELYN A HUNTER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2015
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N COLLEGE ST
AUBURN AL
36830-3814
US

IV. Provider business mailing address

289 SOLAMERE LN
AUBURN AL
36832-5123
US

V. Phone/Fax

Practice location:
  • Phone: 334-219-0425
  • Fax:
Mailing address:
  • Phone: 404-643-2745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1964
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number1964
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number1964
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: