Provider Demographics
NPI:1467672568
Name:HUNSBERGER, PETER HUME (EDD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:HUME
Last Name:HUNSBERGER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N NORTHLAKE WAY
Mailing Address - Street 2:SUITE 127
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9051
Mailing Address - Country:US
Mailing Address - Phone:206-547-1704
Mailing Address - Fax:206-547-1704
Practice Address - Street 1:1900 N NORTHLAKE WAY
Practice Address - Street 2:SUITE 127
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9051
Practice Address - Country:US
Practice Address - Phone:206-547-1704
Practice Address - Fax:206-547-1704
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA783103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical