Doctor Name: | MR. MICHAEL THOMAS HURLOCK |
NPI Number: | 1225091929 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPEECH PATHOLOGIST |
License Number: | 2202001040 |
Business Practice Address: | 100 Emancipation Dr Hampton, VA - 236670001 |
Business Phone Number: | 7577229961 |
Business Fax Number: | |
Mailing Address: | 9 Great Lakes Dr, HAMPTON |
State: | VA |
Postal Code: | 236692387 |
Phone Number: | 7577229961 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202001040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |