Individual
DANIEL JOSEPH HURLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
347 BROADWAY, PROVIDENCE, RI 02909
(401) 831-5313
Mailing address
347 BROADWAY, PROVIDENCE, RI 02909
(401) 831-5313
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
191
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039900
NHP
RI
01
—
92630
BLUE CROSS
RI
01
—
CP00001078
BLUE CHIP
RI
05
—
DH00001
—
RI
Enumeration date
10/12/2006
Last updated
07/08/2007
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