Healthcare Provider Details

I. General information

NPI: 1407971484
Provider Name (Legal Business Name): KATE HURD MA, RDT-BCT, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 43RD ST APT. 34N
NEW YORK NY
10036-6302
US

IV. Provider business mailing address

400 W 43RD ST APT. 34N
NEW YORK NY
10036-6301
US

V. Phone/Fax

Practice location:
  • Phone: 212-971-9313
  • Fax:
Mailing address:
  • Phone: 212-971-9313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number000104-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: