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Individual

MR. PATRICK JAMES HURLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.,NCSP

Contact information

Practice address
3245 DUTCH RIDGE RD SE, NEW STRAITSVILLE, OH 43766-9712
(740) 342-4206
Mailing address
3245 DUTCH RIDGE RD SE, NEW STRAITSVILLE, OH 43766-9712
(740) 342-4206

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2426
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0553584
OH
Enumeration date
05/22/2008
Last updated
05/22/2008
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