Individual
MARY WALSH HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
59 ELIOT AVE, WEST NEWTON, MA 02465-1708
(617) 552-8973
Mailing address
59 ELIOT AVE, WEST NEWTON, MA 02465-1708
(617) 552-8973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1168-PY-PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168-PY-PR
MA BOARD OF REGISTRATION IN PSYCHOLOGY
MA
Enumeration date
05/30/2018
Last updated
05/30/2018
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