Provider Demographics
NPI:1033217401
Name:HURWITZ, BARBARA RUTH (PSY D)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:RUTH
Last Name:HURWITZ
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3456 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1151
Mailing Address - Country:US
Mailing Address - Phone:847-432-5716
Mailing Address - Fax:847-432-5716
Practice Address - Street 1:3456 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1151
Practice Address - Country:US
Practice Address - Phone:847-432-5716
Practice Address - Fax:847-432-5716
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-006329103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical