Healthcare Provider Details

I. General information

NPI: 1851303648
Provider Name (Legal Business Name): MERLYN HURD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 UNIVERSITY PL 8TH FLOOR
NEW YORK NY
10003-4513
US

IV. Provider business mailing address

88 UNIVERSITY PL 8TH FLOOR
NEW YORK NY
10003-4513
US

V. Phone/Fax

Practice location:
  • Phone: 212-807-8690
  • Fax: 212-645-3076
Mailing address:
  • Phone: 212-807-8690
  • Fax: 212-645-3076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberNY 7301
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: