Provider Demographics
NPI:1891526869
Name:HUDSON, HUNTER PATRICE (LBS)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:PATRICE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:LOYALHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:15661-9730
Mailing Address - Country:US
Mailing Address - Phone:724-787-9715
Mailing Address - Fax:
Practice Address - Street 1:201 CLINTON ST
Practice Address - Street 2:
Practice Address - City:LOYALHANNA
Practice Address - State:PA
Practice Address - Zip Code:15661-9730
Practice Address - Country:US
Practice Address - Phone:724-313-6555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH006481103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst