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Individual

KERSTIN P HURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
155 CALLE PORTAL, SUITE 300, SIERRA VISTA, AZ 85635-2900
(520) 459-3011
(520) 458-4467
Mailing address
155 CALLE PORTAL, SUITE 100, SIERRA VISTA, AZ 85635-2900
(520) 459-3012
(520) 515-8663

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4689
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4689
STATE LICENSURE
AZ
Enumeration date
12/31/2015
Last updated
12/31/2015
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