Hurt, Bridget

Hurt, Bridget is an sole proprietor health care provider with primary practice located at 907 N Main St , Poplar Bluff MO 63901-4300. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hurt, Bridget can be contacted via phone (573) 776-6236.

Contact Information

Primary practice address
907 N Main St Poplar Bluff MO 63901-4300
Phone: (573) 776-6236
Fax: (573) 776-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2000159806 Missouri

Profile Details

NPI number 1316925217
LBN Legal business name Hurt, Bridget
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Sep 16th, 2013 - about 13 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 1316925217 NPPES
Missouri MEDICAID 495011835
Missouri Other 25214
Missouri Other 180879

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