1700069168 NPI number — MRS. DAKEETA MCCASKILL HUNTER LPC

Table of content: MRS. DAKEETA MCCASKILL HUNTER LPC (NPI 1700069168)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700069168 NPI number — MRS. DAKEETA MCCASKILL HUNTER LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNTER
Provider First Name:
DAKEETA
Provider Middle Name:
MCCASKILL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCCASKILL
Provider Other First Name:
DAKEETA
Provider Other Middle Name:
JAYNA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700069168
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1717 GORDON WALTERS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28213-3715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-737-0980
Provider Business Mailing Address Fax Number:
704-717-7447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1720 HAMPSHIRE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28146-7211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-630-6634
Provider Business Practice Location Address Fax Number:
866-828-5520
Provider Enumeration Date:
12/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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