Provider Demographics
NPI:1487938197
Name:HUNKINS, CHRISTINE E (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:E
Last Name:HUNKINS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 STATE STREET RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-3504
Mailing Address - Country:US
Mailing Address - Phone:315-386-4504
Mailing Address - Fax:
Practice Address - Street 1:12 COUNTY ROUTE 47
Practice Address - Street 2:
Practice Address - City:PARISHVILLE
Practice Address - State:NY
Practice Address - Zip Code:13672-2464
Practice Address - Country:US
Practice Address - Phone:315-265-4642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017366235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist