Individual
DANIEL HURLBUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 E MAIN ST, MESA, AZ 85201-7417
(480) 472-0200
Mailing address
63 E MAIN ST, MESA, AZ 85201-7417
(480) 472-0200
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
5914
CA
235Z00000X
Speech-Language Pathologist
Primary
TSLP14044
AZ
Other
Enumeration date
01/11/2018
Last updated
07/30/2024
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