| Doctor Name: | DR. MICHAEL THOMAS HURLOCK |
| NPI Number: | 1639335813 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. LMFT LPC NCC |
| License Number: | 000756 |
| Business Practice Address: | 9 Dunham Pond Road Storrs, CT - 06268 |
| Business Phone Number: | 8604770497 |
| Business Fax Number: | 8604770532 |
| Mailing Address: | 9 Dunham Pond Road, STORRS |
| State: | CT |
| Postal Code: | 06268 |
| Phone Number: | 8604770497 |
| Fax Number: | 8604770532 |
| NPI Enumeration Date: | 08/06/2008 |
| NPI Last Update Date: | 12/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000756 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |