Provider Demographics
NPI:1871149229
Name:HUNTER, SANDRA B (PHD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:B
Last Name:HUNTER
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 1:5039 HILLSBORO PIKE, #168
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215
Mailing Address - Country:US
Mailing Address - Phone:615-934-7889
Mailing Address - Fax:615-739-6336
Practice Address - Street 1:4201 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138
Practice Address - Country:US
Practice Address - Phone:615-934-7889
Practice Address - Fax:615-739-6336
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
TN14512103TC1900X, 103TC0700X, 343900000X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)