Provider Demographics
NPI:1528261880
Name:HUNSAKER, EILEEN (MSCCC-SLP)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:
Last Name:HUNSAKER
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 MASSACHUSETTS AVE
Mailing Address - Street 2:NO 232
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3805
Mailing Address - Country:US
Mailing Address - Phone:781-861-1279
Mailing Address - Fax:
Practice Address - Street 1:1475 MASSACHUSETTS AVE
Practice Address - Street 2:NO 232
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-3805
Practice Address - Country:US
Practice Address - Phone:781-861-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6324235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist