| James R Hurst PhD LLC | |
|
6910 N Main St Unit 12 Granger IN 46530-9681 | |
| (574) 250-2282 | |
| Not Available |
| Full Name | James R Hurst PhD LLC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6910 N Main St Unit 12, Granger, Indiana |
| Authorized Official Name and Position | James R. Hurst (OWNER) |
| Authorized Official Contact | 5743444159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Hurst PhD LLC Po Box 251 Granger IN 46530-0251 | James R Hurst PhD LLC 6910 N Main St Unit 12 Granger IN 46530-9681 Ph: (574) 250-2282 |
| NPI Number | 1184260010 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184260010 | NPI | - | NPPES |
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