| Bridget Hurt, Psy.d. & Associates Llc | |
|
907 N Main St Poplar Bluff MO 63901-4300 | |
| (573) 776-6236 | |
| (573) 776-6236 |
| Full Name | Bridget Hurt, Psy.d. & Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 907 N Main St, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Bridget Hurt (PSYCHOLOGIST) |
| Authorized Official Contact | 5737766236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Hurt, Psy.d. & Associates Llc 907 N Main St Poplar Bluff MO 63901-4300 Ph: (573) 776-6236 | Bridget Hurt, Psy.d. & Associates Llc 907 N Main St Poplar Bluff MO 63901-4300 Ph: (573) 776-6236 |
| NPI Number | 1174700868 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 10/08/2013 |
| Medicare PECOS PAC ID | 8527292085 |
|---|---|
| Medicare Enrollment ID | O20131016001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174700868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CS 000587 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2000159807 (Missouri) | Primary |
| Provider Name | Bridget A Hurt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316925217 PECOS PAC ID: 1658355318 Enrollment ID: I20040618000001 |
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