Healthcare Provider Details

I. General information

NPI: 1841353463
Provider Name (Legal Business Name): SUSAN HURT PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 HOPE VALLEY RD
DURHAM NC
27707-5412
US

IV. Provider business mailing address

4003 HOPE VALLEY RD
DURHAM NC
27707-5412
US

V. Phone/Fax

Practice location:
  • Phone: 704-780-0136
  • Fax:
Mailing address:
  • Phone: 704-780-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number2928
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: