Doctor Name: | MARY M. HURWITZ |
NPI Number: | 1285932830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, M.ED. |
License Number: | 3676 |
Business Practice Address: | 22 Cloutmans Ln Marblehead, MA - 019451504 |
Business Phone Number: | 7816409246 |
Business Fax Number: | 2534981127 |
Mailing Address: | 22 Cloutmans Ln, MARBLEHEAD |
State: | MA |
Postal Code: | 019451504 |
Phone Number: | 7816409246 |
Fax Number: | 2534981127 |
NPI Enumeration Date: | 03/07/2011 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |