Provider Demographics
NPI:1902698715
Name:BROOKS-HUNTER, FAITH SERENITY SHAVIS (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:SERENITY SHAVIS
Last Name:BROOKS-HUNTER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 26TH ST APT 604
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2545
Mailing Address - Country:US
Mailing Address - Phone:937-516-2362
Mailing Address - Fax:
Practice Address - Street 1:1309 ALLSTON WAY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-1998
Practice Address - Country:US
Practice Address - Phone:510-848-8774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19553235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist