Provider Demographics
NPI:1699429803
Name:HULSE, DEVIN
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:HULSE
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 1:1290 B ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2996
Mailing Address - Country:US
Mailing Address - Phone:510-395-2871
Mailing Address - Fax:
Practice Address - Street 1:1290 B ST STE 201
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2996
Practice Address - Country:US
Practice Address - Phone:510-395-2871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician