Provider Demographics
NPI:1205016755
Name:HURLEY, FRANK J (LMHC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:HURLEY
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 W ROXBURY PKWY
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3738
Mailing Address - Country:US
Mailing Address - Phone:617-327-9838
Mailing Address - Fax:
Practice Address - Street 1:940 W ROXBURY PKWY
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3738
Practice Address - Country:US
Practice Address - Phone:617-327-9838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMH 35-CC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA70010000LM0323OtherBLUE CROSS & BLUE SHIELD