Healthcare Provider Details

I. General information

NPI: 1609023852
Provider Name (Legal Business Name): CHERRIE ANN HUNTER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GLEN RAY ROAD
ALDERSON WV
24910
US

IV. Provider business mailing address

HC 81 BOX 52C
LEWISBURG WV
24901-9513
US

V. Phone/Fax

Practice location:
  • Phone: 304-445-3300
  • Fax: 304-445-3349
Mailing address:
  • Phone: 304-647-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2623
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: