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NPI Code Detail

MEDICARE: DR. RENEE LYNN HURLEY ED.D, LPC

MEDICARE: DR. RENEE LYNN HURLEY ED.D, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPC002770PA

General Provider Information

NPI Number : 1235877655
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RENEE LYNN HURLEY ED.D, LPC
Provider Business Mailing Address
First Line : 242 E MCMURRAY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2963
Country : US
Telephone Number : 412-276-2307
Fax Number : 727-489-1839
Provider Business Practice Location Address
First Line : 242 E MCMURRAY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2963
Country : US
Telephone Number : 412-276-2307
Fax Number : 727-489-1839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2022
Last Update Date : 06/06/2022

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