Ramona Marie Hunter, PSYD LP LADC
Individual provider Active NPI Psychologist · Sawyer, MN
NPI 1417006552 · NPPES record last updated Oct 22, 2011
Key facts
- NPI
- 1417006552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- LP4432 (MN)
- Practice address
- 1150 Mission Road
Mash-Ka-Wisen
Sawyer, MN 55780-0066 - Phone
- (218) 879-6731
- Fax
- (218) 879-6734
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300080 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| LP4432 | MN | MD | Psychologist |
| 2334057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Indian Primary Residential Treatment Center, Inc. | Past |
Accepting new patients | |
| Duluth Psychological Clinic Inc | Past |
Accepting new patients | |
| Minnesota Indian Primary Residential Treatment Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 300080 | MN | |
| Psychologist | 103T00000X | LP4432 | MN | Yes |
| Psychologist | 103T00000X | 2334057 | WI |
Addresses
Primary practice location
1150 Mission Road
Mash-Ka-Wisen
Sawyer, MN 55780-0066
Mailing address
PO Box 66
Mash-Ka-Wisen
Sawyer, MN 55780-0066
Phone (218) 879-6731
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271923100 | Medicaid | MN |
Other names
- Mona M Hunter
Other providers in Sawyer, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.