Healthcare Provider Details

I. General information

NPI: 1073674727
Provider Name (Legal Business Name): NATALIE H. HURST PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 11/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MAMARONECK AVE SUITE 400
HARRISON NY
10528-1635
US

IV. Provider business mailing address

600 MAMARONECK AVE SUITE 400
HARRISON NY
10528-1635
US

V. Phone/Fax

Practice location:
  • Phone: 914-309-2083
  • Fax:
Mailing address:
  • Phone: 914-309-2083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number013629
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: