Healthcare Provider Details

I. General information

NPI: 1114176518
Provider Name (Legal Business Name): SANDRA A. HUNT MS, SLP/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 N CENTER ST
EAST SYRACUSE NY
13057-2234
US

IV. Provider business mailing address

606 N CENTER ST
EAST SYRACUSE NY
13057-2234
US

V. Phone/Fax

Practice location:
  • Phone: 315-516-5694
  • Fax:
Mailing address:
  • Phone: 315-516-5694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number012054
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP1376
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: