Provider Demographics
NPI:1306970470
Name:HUNTER, RITA RAY (MCD,CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:RAY
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MCD,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S WALNUT
Mailing Address - Street 2:
Mailing Address - City:LEAD HILL
Mailing Address - State:AR
Mailing Address - Zip Code:72644-9504
Mailing Address - Country:US
Mailing Address - Phone:870-436-6296
Mailing Address - Fax:
Practice Address - Street 1:110 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-5024
Practice Address - Country:US
Practice Address - Phone:870-741-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist