Doctor Name: | DR. KEVIN DONALD HURLEY |
NPI Number: | 1043490634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D., ABPP |
License Number: | 4158 |
Business Practice Address: | 5511 N 128th Dr Litchfield Park, AZ - 853404116 |
Business Phone Number: | 6232077825 |
Business Fax Number: | |
Mailing Address: | 5511 N 128th Dr, LITCHFIELD PARK |
State: | AZ |
Postal Code: | 853404116 |
Phone Number: | 6232077825 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2007 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 4158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |