| Dr Jessica Hurlston, PSYD | |
|
10909 Hannan Rd, Romulus, MI 48174-1383 | |
| (734) 893-1000 | |
| Not Available |
| Full Name | Dr Jessica Hurlston |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 10909 Hannan Rd, Romulus, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639620024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301016515 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301016515 (Michigan) | Primary |
| Entity Name | Southeast Michigan Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346695202 PECOS PAC ID: 4587948302 Enrollment ID: O20170222002953 |
| Entity Name | Special Tree Neuro Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306443742 PECOS PAC ID: 1456763259 Enrollment ID: O20201221001367 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Hurlston, PSYD 10909 Hannan Rd, Romulus, MI 48174-1383 Ph: () - | Dr Jessica Hurlston, PSYD 10909 Hannan Rd, Romulus, MI 48174-1383 Ph: (734) 893-1000 |
Mr. Steven Dearmond Curtin, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10909 Hannan Rd, Romulus, MI 48174 Phone: 734-893-1000 Fax: 734-893-3141 | |
Trinilda Feleir Dearing, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7845 Middlebelt Rd, Suite 201, Romulus, MI 48174 Phone: 734-721-0900 | |
Amy Groesbeck, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10909 Hannan Rd, Romulus, MI 48174 Phone: 734-893-1000 | |
Ashley Demeniuk, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10909 Hannan Rd, Romulus, MI 48174 Phone: 734-893-1000 |