MEDICARE: KATHRYN HURYK, PH.D. CLINICAL PSYCHOLOGIST INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1700736188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHRYN HURYK, PH.D. CLINICAL PSYCHOLOGIST INC.

Provider Business Mailing Address
First Line	:	3341 KING ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-2633
Country	:	US
Telephone Number	:	510-214-6898
Fax Number	:	833-485-4628

Provider Business Practice Location Address
First Line	:	3341 KING ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-2633
Country	:	US
Telephone Number	:	510-214-6898
Fax Number	:	833-485-4628

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHRYN MARY HURYK
Credential	:	PHD
Telephone Number	:	510-214-6898

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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