Individual
MICHAEL HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD PSYCHOLOGIST
Contact information
Practice address
64 E WELDON AVE, FRESNO, CA 93704
(559) 300-6643
Mailing address
PO BOX 2113, HANFORD, CA 93232-2113
(559) 300-6643
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
32086
CA
Other
Enumeration date
11/06/2020
Last updated
11/22/2021
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