Organization Name: | HINGHAM WELLNESS LLC |
NPI Number: | 1134556962 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENJAMIN SILVERMAN (CO-OWNER) |
Mailing Address: | 175 Derby St Suite 21-22 Hingham |
State: | MA US |
Postal Code: | 020434007 |
Phone Number: | 8559355467 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2013 |
NPI Last Update Date: | 10/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |