Provider Demographics
NPI:1831207364
Name:HURLEY, ALFRED BENEDICT JR (PHD)
Entity type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:BENEDICT
Last Name:HURLEY
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1419
Mailing Address - Country:US
Mailing Address - Phone:201-390-1262
Mailing Address - Fax:201-384-7014
Practice Address - Street 1:191 GARFIELD ST
Practice Address - Street 2:
Practice Address - City:HAWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07641-1419
Practice Address - Country:US
Practice Address - Phone:201-385-6248
Practice Address - Fax:201-384-7014
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01717NJ103T00000X
NY5982 NY103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist