Individual
DR. VICIE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4111 PICTOR LN, PSYCHOLOGY BLDG, ORLANDO, FL 32816-8032
(407) 823-0967
Mailing address
4111 PICTOR LN, PSYCHOLOGY BLDG, ORLANDO, FL 32816-8032
(407) 823-0967
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9621
FL
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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