Provider Demographics
NPI:1912184656
Name:HURLEY, BETH TINA (BS)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:TINA
Last Name:HURLEY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 YALE ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-2930
Mailing Address - Country:US
Mailing Address - Phone:413-583-3157
Mailing Address - Fax:
Practice Address - Street 1:160 HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1376
Practice Address - Country:US
Practice Address - Phone:413-739-3954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist