Hurlock, Michael Thomas

Hurlock, Michael Thomas is an sole proprietor health care provider with primary practice located at 9 Dunham Pond Road , Storrs CT 06268. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Hurlock, Michael Thomas can be contacted via phone (860) 477-0497.

Contact Information

Primary practice address
9 Dunham Pond Road Storrs CT 06268
Phone: (860) 477-0497
Fax: (860) 477-0532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000756 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001179 Connecticut

Profile Details

NPI number 1639335813
LBN Legal business name Hurlock, Michael Thomas
Credentials PH.D. LMFT LPC NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2008
Last updated Dec 15th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639335813 NPPES
Connecticut MEDICAID 008002535

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