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Organization
HURDLE CLINICAL GROUP PC
Active
Organization
HURDLE CLINICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RUEDA MD (OWNER)
(917) 972-6771
Entity
Organization
Contact information
Practice address
240 ELM STREET 2ND & 3RD FLOORS, SOMMERVILLE, MA 02144
(724) 250-8855
(724) 788-0617
Mailing address
1301 K ST NW FRNT 3, WASHINGTON, DC 20005-4798
(724) 250-8855
(724) 788-0617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/08/2021
Last updated
08/18/2022
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