Provider Demographics
NPI:1194923979
Name:HURM, RYAN DOUGLAS
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:DOUGLAS
Last Name:HURM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 SICKLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2906
Mailing Address - Country:US
Mailing Address - Phone:845-639-6480
Mailing Address - Fax:
Practice Address - Street 1:214 SICKLETOWN RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2906
Practice Address - Country:US
Practice Address - Phone:845-639-6480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018983235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist