Provider Demographics
NPI:1396887881
Name:HUNT, LINDA CARSON (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CARSON
Last Name:HUNT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FAULCONER DRIVE
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903
Mailing Address - Country:US
Mailing Address - Phone:434-295-6424
Mailing Address - Fax:
Practice Address - Street 1:503 FAULCONER DR
Practice Address - Street 2:SUITE 9A
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4978
Practice Address - Country:US
Practice Address - Phone:434-295-6424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001201103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical