Individual
DR. CANDICE LARIZ HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5676
(239) 278-3443
(239) 278-3550
Mailing address
12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5676
(239) 278-3443
(239) 278-3550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7027
FL
Other
Enumeration date
07/23/2008
Last updated
08/24/2011
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