| Doctor Name: | JONATHAN SCOTT HINCKLEY |
| NPI Number: | 1043434848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 30 Taunton Grn Suite 5 Taunton, MA - 027803243 |
| Business Phone Number: | 5088806666 |
| Business Fax Number: | 5088806655 |
| Mailing Address: | 179 Lakeview Dr, RAYNHAM |
| State: | MA |
| Postal Code: | 027671612 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |