Provider Demographics
NPI:1053164897
Name:HUNTER, PATRICK RUARAIDH (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:RUARAIDH
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:RORY
Other - Middle Name:
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1121
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90078-1121
Mailing Address - Country:US
Mailing Address - Phone:310-500-5586
Mailing Address - Fax:
Practice Address - Street 1:1601 N GOWER ST STE 101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7596
Practice Address - Country:US
Practice Address - Phone:310-500-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141932103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist