| Doctor Name: | DR. CRAIG SHAWN HUROVITZ |
| NPI Number: | 1033200233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 014785-1 |
| Business Practice Address: | 4801 Veterans Dr Building 28 Room 153 Saint Cloud, MN - 563032015 |
| Business Phone Number: | 3202556480 |
| Business Fax Number: | 3202556472 |
| Mailing Address: | 1905 Camellia Ct, SAINT CLOUD |
| State: | MN |
| Postal Code: | 563019458 |
| Phone Number: | 3202290131 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 014785-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |