Provider Demographics
NPI:1487313532
Name:HUNT, JODI LEE (SLPA)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:LEE
Last Name:HUNT
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:LEE
Other - Last Name:DAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1430 N. FORTY
Mailing Address - Street 2:
Mailing Address - City:WICKENBURG
Mailing Address - State:AZ
Mailing Address - Zip Code:85390
Mailing Address - Country:US
Mailing Address - Phone:602-689-3906
Mailing Address - Fax:
Practice Address - Street 1:101 EAST COCONINO ST.
Practice Address - Street 2:
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390
Practice Address - Country:US
Practice Address - Phone:928-668-5350
Practice Address - Fax:928-668-5348
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA113132355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant