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Individual

DR. JEAN S HURYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPA

Contact information

Practice address
1401 PARK AVE., PROMISE PLACE, NEW BERN, NC 28560-5502
(252) 636-3381
Mailing address
204 CAMELIA RD, NEW BERN, NC 28562-7604
(252) 671-1434
(252) 638-3900

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1975
NC
103TC0700X
Clinical Psychologist
1975
NC
103TC2200X
Clinical Child & Adolescent Psychologist
1975
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141FG
BCBS
NC
05
6107432
NC
Enumeration date
07/02/2007
Last updated
12/18/2008
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