Individual
DR. BRIDGET HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
907 N MAIN ST, POPLAR BLUFF, MO 63901-4300
(573) 776-6236
(573) 776-6236
Mailing address
907 N MAIN ST, POPLAR BLUFF, MO 63901-4300
(573) 776-6236
(573) 776-6236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2000159806
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180879
BLUE CROSS BLUE SHIELD
—
01
—
25214
UNITED BEHAVIORAL HEALTH
—
05
—
495011835
—
MO
Enumeration date
01/03/2006
Last updated
09/16/2013
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