Provider Demographics
NPI:1821027590
Name:HULBERT, SARAH RUTH (PHD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:RUTH
Last Name:HULBERT
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 1:611 PARK AVE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4547
Mailing Address - Country:US
Mailing Address - Phone:410-347-7744
Mailing Address - Fax:410-347-7744
Practice Address - Street 1:611 PARK AVE
Practice Address - Street 2:SUITE 510
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4547
Practice Address - Country:US
Practice Address - Phone:410-347-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2825103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDGN33SROtherBLUE CROSS BLUE SHIELD
MD0005651015OtherAETNA
MDH2120001OtherCAREFIRST BLUECROSS BLUES
MD1406OtherAMERICAN PSYCHOLOGY SYSTE
MD52967602OtherBLUE CROSS BLUE SHIELD
MD002619OtherVALUE OPTIONS
MDGN33SROtherBLUE CROSS BLUE SHIELD