Provider Demographics
NPI:1548908973
Name:HUNDLEY, NICHOLAS ALLAN (MSW)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:ALLAN
Last Name:HUNDLEY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 W STATE ROAD 426 STE 1051
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-4516
Mailing Address - Country:US
Mailing Address - Phone:407-365-1199
Mailing Address - Fax:
Practice Address - Street 1:2441 W STATE ROAD 426 STE 1051
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4516
Practice Address - Country:US
Practice Address - Phone:407-365-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker