Provider Demographics
NPI:1699815084
Name:HURME, PAULINE MATHILDA (MFT)
Entity Type:Individual
Prefix:MS
First Name:PAULINE
Middle Name:MATHILDA
Last Name:HURME
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:
Other - Last Name:HURME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2380 ROAD E
Mailing Address - Street 2:
Mailing Address - City:REDWOOD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95470-9517
Mailing Address - Country:US
Mailing Address - Phone:707-485-1183
Mailing Address - Fax:707-485-1310
Practice Address - Street 1:2380 ROAD E
Practice Address - Street 2:
Practice Address - City:REDWOOD VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95470-9517
Practice Address - Country:US
Practice Address - Phone:707-485-1183
Practice Address - Fax:707-485-1310
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24963106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist