Provider Demographics
NPI:1225694508
Name:HURD, DEANNA E (BSW)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:E
Last Name:HURD
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8140 DREAM ST STE D
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-7532
Mailing Address - Country:US
Mailing Address - Phone:859-421-0242
Mailing Address - Fax:
Practice Address - Street 1:8140 DREAM ST STE D
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-7532
Practice Address - Country:US
Practice Address - Phone:859-421-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker