Healthcare Provider Details

I. General information

NPI: 1538215025
Provider Name (Legal Business Name): ELAINE DRAKE HURST PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 PAINTER AVE SUITE 303
WHITTIER CA
90602-3102
US

IV. Provider business mailing address

12125 CORLEY DR
WHITTIER CA
90604-2927
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-8588
  • Fax:
Mailing address:
  • Phone: 714-423-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY14281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: