Individual
DR. JAMES R. HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., HSPP
Contact information
Practice address
6910 N MAIN ST UNIT 12, GRANGER, IN 46530-9681
(574) 344-4159
Mailing address
PO BOX 251, GRANGER, IN 46530-0251
(574) 344-4159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041005A
IN
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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