Provider Demographics
NPI:1043535073
Name:HURLEY, CHRISTINA ANNE (MED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:ANNE
Last Name:HURLEY
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:ANNE
Other - Last Name:HODGENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED CCC-SLP
Mailing Address - Street 1:1585 UNITY LOOP
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-1597
Mailing Address - Country:US
Mailing Address - Phone:770-365-1972
Mailing Address - Fax:
Practice Address - Street 1:1585 UNITY LOOP
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1597
Practice Address - Country:US
Practice Address - Phone:770-365-1972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP003187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist