Organization
JAMES R HURST PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. HURST PH.D, HSPP (OWNER)
(574) 344-4159
Entity
Organization
Contact information
Practice address
6910 N MAIN ST UNIT 12, GRANGER, IN 46530-9681
(574) 250-2282
Mailing address
PO BOX 251, GRANGER, IN 46530-0251
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
11/26/2019
Last updated
02/27/2020
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