Provider Demographics
NPI:1003093816
Name:HURVITZ, TARYN (AUD)
Entity Type:Individual
Prefix:DR
First Name:TARYN
Middle Name:
Last Name:HURVITZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 ADOLFO RD
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-6792
Mailing Address - Country:US
Mailing Address - Phone:805-437-1389
Mailing Address - Fax:
Practice Address - Street 1:5100 ADOLFO ROAD
Practice Address - Street 2:VENTURA COUNTY OFFICE OF EDUCATION
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012
Practice Address - Country:US
Practice Address - Phone:805-437-1389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2574231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABT119ZMedicare PIN