Healthcare Provider Details

I. General information

NPI: 1518557826
Provider Name (Legal Business Name): KATHRYN MARY HURYK PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3341 KING ST
BERKELEY CA
94703-2633
US

IV. Provider business mailing address

3341 KING ST
BERKELEY CA
94703-2633
US

V. Phone/Fax

Practice location:
  • Phone: 510-214-6898
  • Fax:
Mailing address:
  • Phone: 510-214-6898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number32715
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: