Healthcare Provider Details

I. General information

NPI: 1881320513
Provider Name (Legal Business Name): PAULINE HULBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 S CENTRAL ST
VISALIA CA
93277-4522
US

IV. Provider business mailing address

2688A SAN JACINTO
LEMOORE CA
93245-3192
US

V. Phone/Fax

Practice location:
  • Phone: 559-635-4252
  • Fax:
Mailing address:
  • Phone: 904-778-5517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: