Healthcare Provider Details

I. General information

NPI: 1881747566
Provider Name (Legal Business Name): LORI BETH HUNT CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7564 LILAC CT
WEST BLOOMFIELD MI
48324-2538
US

IV. Provider business mailing address

7564 LILAC CT
WEST BLOOMFIELD MI
48324-2538
US

V. Phone/Fax

Practice location:
  • Phone: 248-345-6631
  • Fax:
Mailing address:
  • Phone: 248-345-6631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number727633
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101000659
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: