Provider Demographics
NPI:1518277466
Name:HURD, HEATHER DOESCHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:DOESCHER
Last Name:HURD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 GREENWAY BLVD UNIT 310
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-4607
Mailing Address - Country:US
Mailing Address - Phone:612-850-2260
Mailing Address - Fax:
Practice Address - Street 1:6506 SCHROEDER RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2401
Practice Address - Country:US
Practice Address - Phone:608-441-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2890-57103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist