Individual
DR. KARL G. HURSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2595 INTERSTATE DR, SUITE 103, HARRISBURG, PA 17110-9378
(800) 370-3651
(866) 510-0020
Mailing address
199 ZIMMERMAN RD, WAYNESBURG, PA 15370-3730
(724) 949-0058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015698
PA
103TH0100X
Health Service Psychologist
584
WV
103TH0100X
Health Service Psychologist
PS015698
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164662000
—
WV
01
—
276844
VALUEOPTIONS PROV NUM
—
Enumeration date
06/11/2006
Last updated
04/05/2022
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